Organization
CONTEMPORARY OB GYN PHYSICIAN SPECIALISTS PC
Active
Other names
CONTEMPORARY WOMENS CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P MCKENNA MD (PRESIDENT)
(631) 292-6747
Entity
Organization
Contact information
Practice address
3001 EXPRESSWAY DR N, SUITE 116, ISLANDIA, NY 11749-5301
(631) 292-6747
(631) 292-6767
Mailing address
3001 EXPRESSWAY DR N, SUITE 116, ISLANDIA, NY 11749-5301
(631) 292-6747
(631) 292-6767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02075923
—
NY
01
—
CJ2895
RAILROAD MEDICARE
NY
Enumeration date
12/28/2007
Last updated
10/16/2013
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