MARY T KENNEDY

Dr MARY T KENNEDY is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1971.

Contact

21704 NORTHERN BLVD
SUITE 16
BAYSIDE
NY
113613500

Tel: 7186318939

MARY T KENNEDY Information

Npi 1861479636
Pac Id 8921296054
Professional Enrollment Id I20101216000144
Last Name KENNEDY
First Name MARY
Middle Name T
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1971
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 21704 NORTHERN BLVD
Line 2 Street Address SUITE 16
Marker Of Address Line 2 Suppression
City BAYSIDE
State NY
Zip Code 113613500
Phone Number 7186318939
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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