National Provider Identifier Database

BRIAN P MCKENNA, MD – NPI #1518932276
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

BRIAN P MCKENNA, MD
3001 EXPRESSWAY DR N
SUITE 116
ISLANDIA, NY11749-5301
Phone: 631-292-6747
Fax: 631-292-6767
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Gynecology 207VG0400X
Obstetrics 207VX0000X

* Indicates primary specialty

NPI Profile & details for BRIAN P MCKENNA

NPI Number 1518932276
Credentials MD
Entity Individual
Enumeration date 02/17/2006
Last updated 12/06/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 181486
  • NY Medicaid: 01344825
  • NY Other: 4256082 AETNA
  • NY Other: 466E91 BLUE CROSS BLUE SHIELD
  • NY Other: 9605709002 CIGNA
  • NY Other: 0203186 GHI
  • NY Other: 181486A28 HEALTHFIRST
  • NY Other: 3C1748 HEALTHNET PHS
  • NY Other: 181486 HIP
  • NY Other: P43029594 MULTIPLAN
  • NY Other: CP281 OXFORD
  • NY Other: 160054763 RAILROAD MEDICARE
  • NY Other: 1226509 UNITED HEALTHCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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