Individual
KERSHA PENNICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ATRIA, 36 E 57TH STREET 45TH FL., NEW YORK, NY 10022
(212) 600-2000
(914) 607-4731
Mailing address
800 WESTCHESTER AVE STE N715, RYE BROOK, NY 10573-1369
(914) 607-5730
(914) 457-1195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
132150
FL
208000000X
Pediatrics Physician
Primary
310013
NY
Other
Enumeration date
03/31/2014
Last updated
11/04/2024
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