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1932859865
DEREK MCKENNA
BINGHAMTON, NY
NPI
1932859865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 404367)
Enumeration Date
2022-03-24
Last Update Date
2022-10-03
Business Address
DEREK MCKENNA NP
10-42 MITCHELL AVE
BINGHAMTON, NY 13903-1617
Phone number: 607-762-2990
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Mailing Address
DEREK MCKENNA NP
33 LEWIS RD 2ND FL
BINGHAMTON, NY 13905
Phone number: 607-770-0025
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