Individual
ROBERT V KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10720 NORTHERN BLVD, CORONA, NY 11368-1236
(718) 651-0096
(718) 457-3932
Mailing address
10720 NORTHERN BLVD, CORONA, NY 11368-1236
(718) 651-0096
(718) 457-3932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24127
NY
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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