Frank Bernard Kennedy, DDS
Individual provider Active NPI Dentist · Patterson, NY
NPI 1003487869 · NPPES record last updated Nov 6, 2022
Key facts
- NPI
- 1003487869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 062878 (NY)
- Practice address
- 83 Haviland Dr Ste 2
Patterson, NY 12563-2194 - Phone
- (845) 278-6116
- NPI assigned
- Jul 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062878 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montrose Vamc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 062878 | NY | Yes |
Addresses
Primary practice location
83 Haviland Dr Ste 2
Patterson, NY 12563-2194
Mailing address
309 Anarumo Way
Newburgh, NY 12550-2952
Phone (845) 741-2335
Other providers in Patterson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.