Individual
MR. ANDREW KINNEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
23 OXFORD RD, NEW HARTFORD, NY 13413-2638
(315) 223-8889
(315) 223-8890
Mailing address
1 OVERBROOK CREST, NEW HARTFORD, NY 31413
(315) 527-0922
(315) 223-8890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02302514
—
NY
01
—
050502000004
FIDELIS
NY
01
—
109999
BC/BS PIN #
NY
01
—
164399
CDPH VALUE OPTIONS ID #
NY
01
—
415038
MVP PROVIDER ID #
NY
01
—
6164642
UNITED BEHAVIORAL HEALTH
NY
01
—
7336676
VALUE OPTIONS GHI #
NY
01
—
HEALTH NOW
000919601002
NY
01
—
S14019-4B
WORKMENS COMPENSATION
NY
Enumeration date
05/12/2006
Last updated
07/09/2007
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