Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 189698 | NY |
NPI | 1023084787 |
---|---|
Provider Name | Thomas M Kilkenny |
First Address | Staten Island, NY 10305-3436 |
Second Address | Staten Island, NY 10305-3436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 05/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005438548 | AETNA (01) | NY |
01755302 | (05) | NY |
164527 | ELDER PLAN (01) | NY |
189698 | HIP (01) | NY |
189698-B11 | HEALTH FIRST (01) | NY |
2599546 | GHI (01) | NY |
310AQ1 | BLUE CROSS (01) | NY |
4C4195 | TOUCHSTONE (01) | NY |
9801008 | CIGNA (01) | NY |
G47698 | (02) | NY |
P601947 | OXFORD (01) | NY |