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Contact Information

ELIZABETH KENNEDY
404 POTTER BLVD
BRIGHTWATERS, NY11718-1830
 Phone: 631-376-0055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ELIZABETH KENNEDY · (Female)

NPI Number 1982069860
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2015
Last updated 12/10/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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