| Courtney Kennedy, DO | |
|
50 New York Ave # 25a, Smithtown, NY 11787-3448 | |
| (631) 862-3000 | |
| Not Available |
| Full Name | Courtney Kennedy |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 50 New York Ave # 25a, Smithtown, 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 |
|---|---|---|---|
| 1215564604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 321831 (New York) | Primary |
| Entity Name | Island Emergency Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639160385 PECOS PAC ID: 4981503513 Enrollment ID: O20040102000662 |
| Entity Name | Port Emergency Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912988395 PECOS PAC ID: 1456376177 Enrollment ID: O20051012000370 |
| Entity Name | Siena Emergency Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356507099 PECOS PAC ID: 9830257625 Enrollment ID: O20081023000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Kennedy, DO 50 New York Ave # 25a, Smithtown, NY 11787-3448 Ph: (631) 862-3000 | Courtney Kennedy, DO 50 New York Ave # 25a, Smithtown, NY 11787-3448 Ph: (631) 862-3000 |
Dr. Joshua Peter Bozek, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Route 25a, Smithtown, NY 11787 Phone: 631-862-3111 | |
Dr. Marc Richard Salzberg, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 519 W Jericho Tpke, Smithtown, NY 11787 Phone: 631-360-5900 Fax: 631-360-9406 | |
Johny Kattil George, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 Ny-25a, Smithtown, NY 11787 Phone: 631-862-3000 | |
David Rapoport, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 New York Ave # 25a, Smithtown, NY 11787 Phone: 631-862-3000 | |
Sarah Arzt, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 519 W Jericho Tpke, Smithtown, NY 11787 Phone: 631-360-5900 Fax: 631-360-9403 | |
Janice Moldashel, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 Route 25a, Smithtown, NY 11787 Phone: 516-338-5300 Fax: 516-333-1075 |