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Individual

MARIA PAOLA MCKENNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19 BRADHURST AVE.,, SUITE # 2400, HAWTHORNE, NY 10532
(914) 594-3916
(914) 594-3585
Mailing address
22 SAW MILL RIVER ROAD,, 2ND. FLOOR, HAWTHORNE, NY 10532-7507
(914) 594-3916
(914) 594-3585

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
253906
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03027910
NY
Enumeration date
09/15/2008
Last updated
07/23/2013
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