Mckenna, Robert

Mckenna, Robert is an individual health care provider with primary practice located at 7517 37Th Ave , Jackson Heights NY 11372-6537. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Mckenna, Robert can be contacted via phone (718) 779-1222.

Contact Information

Primary practice address
7517 37Th Ave Jackson Heights NY 11372-6537
Phone: (718) 779-1222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1558351304
LBN Legal business name Mckenna, Robert
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 12th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558351304 NPPES
New York MEDICAID 00751157

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