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Gregory W Kennedy Dds Pllc
Customized Equipment (DME) in Commack, New York
NPI 1528532009

Gregory W Kennedy Dds Pllc is a Customized Equipment (DME) based in Commack, NY and is specialized in Customized Equipment. Gregory W Kennedy Dds Pllc practices in Commack, NY. The NPI Number for Gregory W Kennedy Dds Pllc is 1528532009 and holds a License No. (New York).

The current practice location address for Gregory W Kennedy Dds Pllc is 164 Commack Rd Ste 4, Commack, NY and can be reached out via phone at 631-499-3377.

Location: 164 Commack Rd Ste 4, Commack, NY, 11725-3430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528532009
Provider Name
Gregory W Kennedy Dds Pllc
Credential
Provider Entity Type
Organization
Address
164 Commack Rd Ste 4, Commack, NY, 11725-3430
Phone Number
631-499-3377
Fax Number
Provider Enumeration Date
01/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
164 Commack Rd Ste 4
City
Commack
State
New York
Zip
11725-3430
Phone Number
631-499-3377
Fax Number
person
Provider Business Mailing Address Details
Address
164 Commack Rd Ste 4
City
Commack
State
New York
Zip
11725-3430
Phone Number
631-499-3377
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
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