Mckenna, Robert
Mckenna, Robert is an individual health care provider with primary practice located at 7517 37Th Ave , Jackson Heights NY 11372-6537. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Mckenna, Robert can be contacted via phone (718) 779-1222.Contact Information
Primary practice address
7517 37Th Ave
Jackson Heights NY 11372-6537
Phone: (718) 779-1222
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
NPI number | 1558351304 |
---|---|
LBN Legal business name | Mckenna, Robert |
Credentials | OPTICIAN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2005 |
Last updated | Jul 12th, 2007 - about 17 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 | 1558351304 | NPPES |
New York | MEDICAID | 00751157 |
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