Individual
DR. ROBERT J KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 PROVIDENCE AVENUE, SCHENECTADY, NY 12309
(518) 377-3439
Mailing address
1675 PROVIDENCE AVENUE, SCHENECTADY, NY 12309
(518) 377-3439
(518) 377-0436
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1589361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405575002
BS
—
05
—
00864755
—
NY
01
—
10001042
CDPHP
—
01
—
17111
MVP
—
Enumeration date
07/21/2006
Last updated
07/08/2007
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