| Doctor Name: | MRS. ELLEN-MARIE KENNY |
| NPI Number: | 1740423680 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | F303564 |
| Business Practice Address: | 186 Hollywood Ave Tuckahoe, NY - 107072220 |
| Business Phone Number: | 9142027559 |
| Business Fax Number: | |
| Mailing Address: | Box 1030, Mount Sinai Hospital One Gustave L. Levy Place NEW YORK |
| State: | NY |
| Postal Code: | 100296574 |
| Phone Number: | 2122414581 |
| Fax Number: | 2122895971 |
| NPI Enumeration Date: | 04/08/2009 |
| NPI Last Update Date: | 04/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F303564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |