Healthcare Provider Details

I. General information

NPI: 1356265748
Provider Name (Legal Business Name): DR. KENISHA KIDD-ALBRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 E MARKET ST
LONG BEACH NY
11561-2131
US

IV. Provider business mailing address

138 E MARKET ST
LONG BEACH NY
11561-2131
US

V. Phone/Fax

Practice location:
  • Phone: 516-738-8427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: