Individual
LIZA JEAN MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
415 E MAIN ST, ENDICOTT, NY 13760-4925
(607) 784-2460
Mailing address
34 ODAY DR, ENDICOTT, NY 13760-7057
(607) 725-5653
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
028862
NY
Other
Enumeration date
09/06/2022
Last updated
07/01/2025
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