Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS SUSAN JEAN MCKENNA, RRT
Active Sole Proprietor2279E1000X · GREENLAWN, NY
Registration Details
- NPI Number
- 1801140314
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2012 (13.458470622498 yrs)
- Last Updated
- Jun 21, 2014
- Licenses
-
007106-1 (NY)007106 (NY)007106 (NY)007106 (NY)007106 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29 SINCLAIR DRGREENLAWN, NY, 117402620Browse NY providers · Browse ZIP 11740
- Phone
- 5164442742
- Primary Specialty
-
2279E1000X
2279E1000X
- Additional Specialty
- 2279H0200X
- Additional Specialty
- 2279E0002X
- Additional Specialty
- 2279G0305X
- Additional Specialty
- 2279P3900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.