ROBERT V KENNEDY (NPI# 1760788855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760788855 |
| Entity Type | Individual |
| Full Name | ROBERT V KENNEDY |
| Practice Address |
10720 Northern Blvd Corona NY 11368-1236 |
| Practice Telephone | 7186510096 |
| Practice Fax Number | 7184573932 |
| Mailing Telephone | 7186510096 |
| Mailing Fax Number | 7184573932 |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
24127 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893098 | Robert Dale Kennedy | Technician | 460 Mitchell Branch, Red Jacket, WV 25692 | 2020-08-26 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1588119481 | Robert Kennedy | Counselor | 313 W Valencia St, Lakeland, FL 33805-3138 | 2016-08-20 |
| 1538549514 | Robert Kennedy | Physical Therapy Assistant | 300 Seville Road, Hurricane, WV 25526 | 2015-06-04 |
| 1780096040 | Robert Kennedy IIi | Social Worker | 654 Jones Ln, Dublin, GA 31021-0303 | 2014-05-21 |
| 1134492481 | Robert S Kennedy | Pharmacist | 3551 Roger Brooke Dr # Drive, Jbsa Ft Sam Houston, TX 78234-4504 | 2012-02-17 |
| 1215163142 | Robert Edward Kennedy | Psychoanalyst | 50 Greenwood Ave, Jersey City, NJ 07306 | 2009-06-05 |
| 1134379415 | Robert Joseph Kennedy | Physical Therapist | 155 Bryant Ave, Glen Ellyn, IL 60137-5523 | 2008-09-24 |
| 1063691889 | Robert Leslie Kennedy | Pharmacist | 1735 Scherm Rd, Owensboro, KY 42301-5972 | 2007-10-29 |
| 1578635926 | Robert M Kennedy | Dentist | 200 The Great Road, Suite 243, Bedford, MA 01730 | 2006-11-14 |
| Street Address |
10720 NORTHERN BLVD |
| City | CORONA |
| State | NY |
| Zip Code | 11368-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609909910 | Elmcor Youth & Adult Activities Inc | Clinic/Center | 10720 Northern Blvd, Corona, NY 11368-1236 | 2007-03-14 |
| 1174994305 | Elmcor Youth and Adult Activities | Substance Abuse Rehabilitation Facility | 10720 Northern Blvd, Corona, NY 11368-1236 | 2015-10-14 |
| 1437412608 | Raymond Dejean Jr. | Counselor | 10720 Northern Blvd, Corona, NY 11368-1236 | 2012-06-21 |
| 1437410404 | Luis M Montero | Counselor | 10720 Northern Blvd, Corona, NY 11368-1236 | 2012-06-06 |
| 1366716615 | Maria Ramirez | Counselor | 10720 Northern Blvd, Corona, NY 11368-1236 | 2012-03-05 |
| 1679846422 | Edgar Vargas | Counselor | 10720 Northern Blvd, Corona, NY 11368-1236 | 2012-02-09 |
| 1215161765 | Fay Kendall | Counselor | 10720 Northern Blvd, Corona, NY 11368-1236 | 2009-05-13 |
| 1295972438 | Olga Treguboff | Counselor | 10720 Northern Blvd, Corona, NY 11368-1236 | 2009-01-09 |
| 1073759031 | Michael Quinones | Counselor | 10720 Northern Blvd, Corona, NY 11368-1236 | 2008-12-22 |
| 1992941959 | George Acevedo | Counselor | 10720 Northern Blvd, Corona, NY 11368-1236 | 2008-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952928509 | Eric Lee Silva | Counselor | 1623 S Lincoln Ave, Corona, CA 92882-3911 | 2020-06-30 |
| 1851921134 | Victor Candela Jr. | Counselor | 1655 E 6th St Ste B6, Corona, CA 92879-1719 | 2020-01-25 |
| 1063952307 | Wendy Catalina Villafana | Counselor | 9609 40th Rd, Corona, NY 11368-2138 | 2017-03-06 |
| 1720436546 | Tammy Fogle | Counselor | 245 N Lincoln Ave, Corona, CA 92882-1851 | 2016-06-02 |
| 1073956330 | Gloria Quaid | Counselor | 2178 Devonshire Dr, Corona, CA 92879-3162 | 2013-04-16 |
| 1285997783 | Shresia Deon Fontenot-kenney | Counselor | 1064 Riverbend Cir, Corona, CA 92881-8685 | 2012-06-19 |
| 1891984126 | Lloyd Alan Wager | Counselor | 370 West Grand Blvd Ste 104, Corona, CA 92882 | 2007-10-23 |
| 1972797819 | April Kimberly Moore | Counselor | 710 Rimpau Ave Ste 102, Corona, CA 92879-5724 | 2007-09-04 |
| 1386834745 | Deneen Leo Watson | Counselor | 615 Robin Ct, Corona, CA 92879-3138 | 2007-07-31 |
| 1740335330 | Evelyn Sosa | Counselor | 109 E 11th St, Corona, CA 92879-2157 | 2007-01-24 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.