Mckenna, Dwight R.
Mckenna, Dwight R. is an individual health care provider with primary practice located at 1101 Nott St @ Ellis Hospital Er Dept., Schenectady NY 12308-2425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mckenna, Dwight R. can be contacted via phone (518) 243-4121.Contact Information
Primary practice address
1101 Nott St @ Ellis Hospital Er Dept.
Schenectady NY 12308-2425
Phone: (518) 243-4121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 162886-1 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 162886-1 | New York |
Profile Details
| NPI number | 1720092349 |
|---|---|
| LBN Legal business name | Mckenna, Dwight R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Dec 14th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720092349 | NPPES |
| New York | MEDICAID | 01732301 |
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