Dr Cort Chedwin Kennedy Ii, MD | |
364 Vanderbilt Blvd, Oakdale, NY 11769-4423 | |
() - | |
Not Available |
Full Name | Dr Cort Chedwin Kennedy Ii |
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Gender | Male |
Speciality | Family Medicine |
Location | 364 Vanderbilt Blvd, Oakdale, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730719659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 325220-01 (New York) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | City Medical Of Upper East Side Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
Entity Name | Cort Chedwin Kennedy Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447092853 PECOS PAC ID: 1850834169 Enrollment ID: O20240614002258 |
Mailing Address | Practice Location Address |
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Dr Cort Chedwin Kennedy Ii, MD 364 Vanderbilt Blvd, Oakdale, NY 11769-2038 Ph: (631) 507-2979 | Dr Cort Chedwin Kennedy Ii, MD 364 Vanderbilt Blvd, Oakdale, NY 11769-4423 Ph: () - |
Dr. Nusrat Loqman, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4568a Sunrise Highway, Oakdale, NY 11769 Phone: 631-730-8542 Fax: 631-730-6946 | |
Rahkil Maizel, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4568a Sunrise Hwy, Oakdale, NY 11769 Phone: 631-730-8542 | |
Dr. Marc Cimmino, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Montauk Hwy, Oakdale, NY 11769 Phone: 631-400-8400 Fax: 631-772-2495 |