Individual provider · Type 1 NPI

Peter McKenna

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1275980104 Active

Practice location

Stony Brook Medicine Department Of Emergency, Hsc Level 4 Room 080
Stony Brook, NY 11794-8350

Call (631) 444-3880 Map

Fax (631) 444-3919

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X297011 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275980104

Peter McKenna's National Provider Identifier is 1275980104, issued on May 20, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Dec 1, 2023.