Individual
MRS. DANIELLE LYNN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
600 2ND STREET NORTH, EAST NORTHPORT, NY 11731
(631) 748-6981
Mailing address
600 2ND STREET NORTH, EAST NORTHPORT, NY 11731
(631) 748-6981
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009392
NY
Other
Enumeration date
11/14/2020
Last updated
08/31/2021
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