Provider Demographics
NPI:1629385729
Name:ARTHUR KENNISH MD
Entity Type:Organization
Organization Name:ARTHUR KENNISH MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-410-6610
Mailing Address - Street 1:108 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6217
Mailing Address - Country:US
Mailing Address - Phone:212-410-6610
Mailing Address - Fax:
Practice Address - Street 1:108 E 96TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6217
Practice Address - Country:US
Practice Address - Phone:212-410-6610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744G0900XOther Service ProvidersSpecialistGraphics DesignerGroup - Multi-Specialty