Individual
ALLISON MARIE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 E 210TH ST FL 2, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
72 KENNETH AVE, HUNTINGTON, NY 11743-4929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023161
NY
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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