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Mackenzie Wild
Student in an Organized Health Care Education/Training Program in North New Hyde Park, New York
NPI 1578162384

Mackenzie Wild is a Student in an Organized Health Care Education/Training Program based in Floral Park, NY. Mackenzie Wild practices in North New Hyde Park, NY. The NPI Number for Mackenzie Wild is 1578162384 and holds a License No. (New York).

The current practice location address for Mackenzie Wild is 1991 Marcus Ave, North New Hyde Park, NY and can be reached out via phone at 401-864-5520.

Location: 1991 Marcus Ave, North New Hyde Park, NY, 11001-2129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578162384
Provider Name
Mackenzie Wild
Credential
Provider Entity Type
Individual
Gender
Female
Address
1991 Marcus Ave, North New Hyde Park, NY, 11001-2129
Phone Number
401-864-5520
Fax Number
Provider Enumeration Date
10/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1991 Marcus Ave
City
North New Hyde Park
State
New York
Zip
11042-2057
Phone Number
401-864-5520
Fax Number
person
Provider Business Mailing Address Details
Address
1991 Marcus Ave
City
North New Hyde Park
State
New York
Zip
11042-2057
Phone Number
401-864-5520
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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