Individual
ANN VALERIE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 4TH AVE, FARMINGDALE, NY 11735-5721
(516) 382-6520
Mailing address
35 4TH AVE, FARMINGDALE, NY 11735-5721
(516) 382-6520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
485694
NY
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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