Organization
KENNEDY PSYCHIATRIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIGEL IAIN KENNEDY MD (PRESIDENT)
(929) 505-0504
Entity
Organization
Contact information
Practice address
1160 5TH AVE APT 112, NEW YORK, NY 10029-6933
(929) 505-0504
Mailing address
120 BIRCHWOOD AVE, NYACK, NY 10960-1202
(929) 434-0724
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538576277
INDIVIDUAL NPI
NY
Enumeration date
09/13/2022
Last updated
09/13/2022
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