Healthcare Provider Details

I. General information

NPI: 1740194133
Provider Name (Legal Business Name): GREGORY GAAFAR NP IN PSYCHIATRY AND WILLIAM MCKENNA DC HEALTH SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 FIFTH AVE
PELHAM NY
10803-3704
US

IV. Provider business mailing address

604 FIFTH AVE
PELHAM NY
10803-3704
US

V. Phone/Fax

Practice location:
  • Phone: 914-738-4460
  • Fax: 914-738-6299
Mailing address:
  • Phone: 914-738-4460
  • Fax: 914-738-6299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. WILLIAM P MCKENNA
Title or Position: OWNER
Credential: DC
Phone: 914-738-4460