Organization Name: | DANIELE J. KENNY, M.D., PC |
NPI Number: | 1003129149 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIELE J KENNY (PRESIDENT) |
Mailing Address: | 1312 Middle Country Rd Selden |
State: | NY US |
Postal Code: | 117842514 |
Phone Number: | 6316986556 |
Fax Number: | 6316981021 |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |