Individual
DR. KYLE LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4125
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
255612
NY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
255612
NY
Other
Enumeration date
06/21/2008
Last updated
09/20/2012
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