Abraham, Kenney
Abraham, Kenney is an individual health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-0001. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Abraham, Kenney can be contacted via phone (631) 689-8333.Contact Information
Primary practice address
101 Nicolls Rd
Stony Brook NY 11794-0001
Phone: (631) 689-8333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1023710969 |
|---|---|
| LBN Legal business name | Abraham, Kenney |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2023 |
| Last updated | Mar 21st, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023710969 | NPPES |
| New York | MEDICAID | GY01609F |
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