Elizabeth Kennedy
Elizabeth Kennedy is a Physician Assistant in Brightwaters, New York. Qualified in 2016, 10 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment.
- Years since qualifying
- 10
- In the registry since
- 2015
Practice location Address checks out
404 Potter BlvdBrightwaters, NY 11718-1830
Phone: (631) 376-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|
Record details
| NPI number | 1982069860 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 21, 2015 |
| Last updated in NPPES | December 10, 2019 |
| Certification date | December 10, 2019 |
| Mailing address | 23 Roosevelt Dr, Bethpage, NY 11714-5537 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 7 on file with Medicare |