| Daniele J. Kenny, M.d., Pc | |
|
1312 Middle Country Rd Selden NY 11784-2514 | |
| (631) 698-6556 | |
| (631) 698-1021 |
| Full Name | Daniele J. Kenny, M.d., Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1312 Middle Country Rd, Selden, New York |
| Authorized Official Name and Position | Daniele J Kenny (PRESIDENT) |
| Authorized Official Contact | 6316986556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniele J. Kenny, M.d., Pc 1312 Middle Country Rd Selden NY 11784-2514 Ph: (631) 698-6556 | Daniele J. Kenny, M.d., Pc 1312 Middle Country Rd Selden NY 11784-2514 Ph: (631) 698-6556 |
| NPI Number | 1003129149 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 07/19/2010 |
| Medicare PECOS PAC ID | 1759415557 |
|---|---|
| Medicare Enrollment ID | O20100816000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003129149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniele J Kenny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396712006 PECOS PAC ID: 6800937806 Enrollment ID: I20100816000726 |
Internal Medicine Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 Boyle Rd, Selden, NY 11784 Phone: 631-696-2000 Fax: 631-696-2003 | |
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