Provider Demographics
NPI:1922732528
Name:MCKINNEY, EMMA E
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:E
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 DEER CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1365
Mailing Address - Country:US
Mailing Address - Phone:914-382-3274
Mailing Address - Fax:
Practice Address - Street 1:46 DEER CROSSING DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1365
Practice Address - Country:US
Practice Address - Phone:914-382-3274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor