JACKLYN PERILLO MCKENNA NPI 1124853379

NPI Information

  • NPI: 1124853379
  • Provider Name: JACKLYN PERILLO MCKENNA
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1400 OLD COUNTRY RD STE C103N
    WESTBURY, NY
    ZIP 11590
  • Phone: (516) 806-6363

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NPI Details

Jacklyn Perillo Mckenna is a specialist in Westbury, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jacklyn Perillo Mckenna NPI is 1124853379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 OLD COUNTRY RD STE C103N
WESTBURY, NY
ZIP 11590-156
Phone: (516) 806-6363

The enumeration date for this NPI number is 9/6/2024 and was last updated on 9/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist1464094211NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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