MEDICARE: KENDALL JULIA KUTNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	032429	NY

General Provider Information

NPI Number	:	1508604711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALL JULIA KUTNER

Provider Business Mailing Address
First Line	:	100 PORT WASHINGTON BLVD
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-1347
Country	:	US
Telephone Number	:	516-562-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 PORT WASHINGTON BLVD
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-1347
Country	:	US
Telephone Number	:	516-562-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2024
Last Update Date	:	02/09/2026

Similar Medicare Providers

1588646871 — DR. DOINA LAURA GLODAN MD
Practice Location Address:

100 PORT WASHINGTON BLVD
ROSLYN, NY
11576-1347

Practice Phone: 516-562-6385
Practice Fax: 516-562-6300

1922080050 — ALBERT C DIMEO M.D.
Practice Location Address:

100 PORT WASHINGTON BLVD , SUITE G01
ROSLYN, NY
11576-1347

Practice Phone: 516-327-2173
Practice Fax: 516-365-5813

1003883653 — PEDIATRIC CARDIOLOGY OF LI PC
Practice Location Address:

100 PORT WASHINGTON BLVD , SUITE 108
ROSLYN, NY
11576-1347

Practice Phone: 516-365-3340
Practice Fax: 516-365-5512

1699731471 — DR. XIAO LI REN M.D.
Practice Location Address:

100 PORT WASHINGTON BLVD
ROSLYN, NY
11576-1347

Practice Phone: 516-277-4959
Practice Fax: 516-622-4551

1801834411 — NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, P.C.
Practice Location Address:

100 PORT WASHINGTON BLVD
ROSLYN, NY
11576-1347

Practice Phone: 516-627-6624
Practice Fax: 516-627-3804

1609816784 — MRS. CHRISTINA MARIA AVDOULOS RPA
Practice Location Address:

100 PORT WASHINGTON BLVD , SUITE G03
ROSLYN, NY
11576-1347

Practice Phone: 516-627-1155
Practice Fax: 516-365-6446

Directions to “ KENDALL JULIA KUTNER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.