Individual
KRISTIN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 SUNRISE HWY, CARONE HALL-OUTPATIENT, AMITYVILLE, NY 11701-2508
(631) 608-5022
(631) 264-4509
Mailing address
400 SUNRISE HWY, CARONE HALL-OUTPATIENT, AMITYVILLE, NY 11701-2508
(631) 608-5022
(631) 264-4509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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