Mckenna, Brian P

Mckenna, Brian P is an individual health care provider with primary practice located at 3001 Expressway Dr N Suite 116, Islandia NY 11749-5301. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Other Service Providers / Specialist is his primary health care specialty. Mckenna, Brian P can be contacted via phone (631) 292-6747.

Contact Information

Primary practice address
3001 Expressway Dr N Suite 116 Islandia NY 11749-5301
Phone: (631) 292-6747
Fax: (631) 292-6767
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 181486 New York
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 181486 New York
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 181486 New York

Profile Details

NPI number 1518932276
LBN Legal business name Mckenna, Brian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Dec 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518932276 NPPES
New York MEDICAID 01344825
New York Other 181486
New York Other 3C1748
New York Other 0203186
New York Other 160054763
New York Other 4256082
New York Other CP281
New York Other 1226509
New York Other 181486A28
New York Other 466E91
New York Other 9605709002
New York Other P43029594

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