Mckinzie, Alice Jane

Mckinzie, Alice Jane is an individual health care provider with primary practice located at 600 Roe Ave , Elmira NY 14905-1629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mckinzie, Alice Jane can be contacted via phone (607) 737-7002.

Contact Information

Primary practice address
600 Roe Ave Elmira NY 14905-1629
Phone: (607) 737-7002
Fax: (607) 271-3435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0102207151 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 281701 New York

Profile Details

NPI number 1720025075
LBN Legal business name Mckinzie, Alice Jane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720025075 NPPES
New York MEDICAID 05336383
New York MEDICAID 103598538

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