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Dr. Susan Tara Mackey, DC,PA-C
Physician Assistant in Patchogue, New York
NPI 1427080563

Susan Tara Mackey is a Physician Assistant based in Patchogue, NY. Susan Tara Mackey practices in Patchogue, NY and has the professional credentials of DC,PA-C. The NPI Number for Susan Tara Mackey is 1427080563 and holds a License No. X007538-1 (New York).

The current practice location address for Susan Tara Mackey is 77 Medford Ave, Patchogue, NY and can be reached out via phone at 631-758-1910 and via fax at 631-758-2371.

Location: 77 Medford Ave, Patchogue, NY, 11772-1281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427080563
Provider Name
Susan Tara Mackey
Credential
DC,PA-C
Provider Entity Type
Individual
Gender
Female
Address
77 Medford Ave, Patchogue, NY, 11772-1281
Phone Number
631-758-1910
Fax Number
631-758-2371
Provider Enumeration Date
07/07/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P735820 01 OXFORD
C07538-4 01 NY WC
C0753YM 01 NY WC
605796 01 ACN
929118N 01 MDC
80315 01 VYTRA
859940 01 GHI
8675557 01 CIGNA
2124488 01 AETNA
6I020569Y06 05 NY
institution
Provider Business Practice Location Address Details
Address
77 Medford Ave
City
Patchogue
State
New York
Zip
11772-1281
Phone Number
631-758-1910
Fax Number
631-758-2371
person
Provider Business Mailing Address Details
Address
77 Medford Ave
City
Patchogue
State
New York
Zip
11772-1281
Phone Number
631-758-1910
Fax Number
631-758-2371
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
018994-1 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
X007538-1 (New York)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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