Individual
CRAIG D MCKERNIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
40 FLATBUSH AVENUE EXT, 8TH FLOOR, BROOKLYN, NY 11201-1906
(718) 439-4358
Mailing address
38 6TH AVE, HUNTINGTON STATION, NY 11746-2207
(718) 439-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001302-1
NY
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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