IndividualActive
Elise Mckenna
NPI 1548670300 · Pediatric Surgery Physician · New York, NY
Provider details
- NPI number
- 1548670300
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MD047525 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
530 1st Ave Ste 10w
New York, NY 10016-6402
Phone: (212) 263-7391
Approximate (ZIP-level) locationGet directions
Mailing address
530 1st Ave Ste 10w
New York, NY 10016-6402
Registry dates
- Enumerated
- 2014-05-02
- Last updated
- 2023-12-18
- Certified
- 2023-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.