Individual
DR. BRIAN P MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
181486
NY
207VG0400X
Gynecology Physician
181486
NY
207VX0000X
Obstetrics Physician
181486
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01344825
—
NY
01
—
0203186
GHI
NY
01
—
1226509
UNITED HEALTHCARE
NY
01
—
160054763
RAILROAD MEDICARE
NY
01
—
181486
HIP
NY
01
—
181486A28
HEALTHFIRST
NY
01
—
3C1748
HEALTHNET PHS
NY
01
—
4256082
AETNA
NY
01
—
466E91
BLUE CROSS BLUE SHIELD
NY
01
—
9605709002
CIGNA
NY
01
—
CP281
OXFORD
NY
01
—
P43029594
MULTIPLAN
NY
Enumeration date
02/17/2006
Last updated
12/06/2012
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