Kennedy, Brian

Kennedy, Brian is an individual health care provider with primary practice located at 175 Memorial Hwy Suite 2-3, New Rochelle NY 10801-5635. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kennedy, Brian can be contacted via phone (914) 235-5354.

Contact Information

Primary practice address
175 Memorial Hwy Suite 2-3 New Rochelle NY 10801-5635
Phone: (914) 235-5354
Fax: (914) 235-5736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 026707-1 New York

Profile Details

NPI number 1518913946
LBN Legal business name Kennedy, Brian
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Nov 10th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518913946 NPPES
New York MEDICAID 02856357

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