Individual provider · Type 1 NPI

Mary T. Kenavan

Specialist · Kings Park, NY

NPI number 1326909839 Active

Practice location

29 8th Ave
Kings Park, NY 11754-4301

Call (631) 559-7766 Map

Mailing address

29 8th Avenue
Kings Park, NY 11754

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1326909839

Mary T. Kenavan's National Provider Identifier is 1326909839, issued on Nov 24, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kings Park, NY. The record was last updated on Nov 24, 2025.