Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ccs Medical Practice, PLLC

Organization Public Health or Welfare Agency · NPI 1265857643

Ccs Medical Practice, PLLC is a Public Health or Welfare Agency in Huntington, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

17 Southdown Rd
Huntington, NY 11743
Phone: (631) 923-2139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Public Health or Welfare Agency Taxonomy 251K00000X · Licence 7175553 (NY)

Record details

NPI number1265857643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kennedy — Owner · (631) 923-2139
NPI enumeratedFebruary 21, 2014
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019
Mailing address17 Southdown Road, Huntington, NY 11743