KENNWORTH EATON

NORTH SHORE LIJ URGENT CARE PC

Dr KENNWORTH EATON is a male medical professional, specializing in Physician Assistant. He graduated in 1998.

Contact

NORTH SHORE LIJ URGENT CARE PC

801 BROADWAY
SUITE 100
AMITYVILLE
NY
117012206

Tel: 5167844486

KENNWORTH EATON Information

Npi 1891984548
Pac Id 2860656238
Professional Enrollment Id I20120614000685
Last Name EATON
First Name KENNWORTH
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1998
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTH SHORE LIJ URGENT CARE PC
Group Practice Pac Id 6002131778
Number Of Group Practice Members 179
Line 1 Street Address 801 BROADWAY
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City AMITYVILLE
State NY
Zip Code 117012206
Phone Number 5167844486
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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