Stanley, Mackenzie James
Stanley, Mackenzie James is an sole proprietor health care provider with primary practice located at 1200 Driving Park Ave , Newark NY 14513-1090. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Stanley, Mackenzie James can be contacted via phone (315) 332-2022.Contact Information
Primary practice address
1200 Driving Park Ave
Newark NY 14513-1090
Phone: (315) 332-2022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F352011 | New York |
Profile Details
| NPI number | 1790463495 |
|---|---|
| LBN Legal business name | Stanley, Mackenzie James |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2023 |
| Last updated | Jul 11th, 2023 - about 3 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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