Mackenson David LMSW

NPI 1639343478 - Social Worker - 1041C0700X

NPI Details
NPI 1639343478
Gender Male
Enumeration Date 04/14/2008
Last Updated 04/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
83 CONKLIN AVE
WHEATLEY HEIGHTS NY, 11798-1102, US
Phone (631) 374-8782
Fax
Business Location
83 CONKLIN AVE
WHEATLEY HEIGHTS NY, 11798-1102, US
Phone (631) 374-8782
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 075419
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According to our database, Mr. Mackenson David LMSW NPI is 1639343478, taxonomy code is 1041C0700X and license number is 075419, license state is located at New York. Mackenson David LMSW physically located at 83 Conklin Ave, Wheatley Heights NY, 11798-1102. NPI Number Mackenson David LMSW has the Individual type.

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1639343478 NPI number is provided on an as is basis without warranty of any kind. 1639343478 is maintained by the National Plan & Provider Enumeration System. The contents of Mackenson David LMSW are for informational purposes only.