Individual
EMMA KATE MCKEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STUDENT (PA-S)
Contact information
Practice address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(631) 416-4426
Mailing address
18 DEBBIE LEE LN, BOHEMIA, NY 11716-3803
(631) 416-4426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033289-01
NY
Other
Enumeration date
09/13/2024
Last updated
03/03/2025
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