Organization
WILLIAM KENNEDY MAIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KENNEDY MAIN MD (PRESIDENT)
(212) 396-3274
Entity
Organization
Contact information
Practice address
876 PARK AVENUE, NEW YORK, NY 10075
(212) 396-3274
(212) 396-3277
Mailing address
876 PARK AVENUE, NEW YORK, NY 10075
(212) 396-3274
(212) 396-3277
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
185025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185025
LICENSE
—
Enumeration date
01/31/2008
Last updated
11/11/2008
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