Individual
CECILIA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 COLUMBIA ST, NEW YORK, NY 10002-1953
(646) 267-2512
Mailing address
16937 144TH RD, JAMAICA, NY 11434-5929
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2361931
NY
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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