Individual
MRS. CHASIDY P KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 BROADWAY, BROOKLYN, NY 11221-4203
(718) 443-3423
Mailing address
15011 LINDEN BLVD, JAMAICA, NY 11434-1031
(646) 242-7942
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
017921-1
NY
Other
Enumeration date
04/04/2012
Last updated
10/02/2013
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