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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 Specialty Code Provider Type

Specialist

174400000X
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Obstetrics

207VX0000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BRIAN P MCKENNA · (Male)

NPI Number 1518932276
Status Active
Credentials MD
Entity Individual
Enumeration date 02/17/2006
Last updated 12/06/2012 - About 14 years ago
Sole proprietor 1 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(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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