Oliver Gregory Mackey D.P.M.

NPI 1003811050 - Podiatrist - 213E00000X

NPI Details
NPI 1003811050
Gender Male
Enumeration Date 06/16/2005
Last Updated 08/25/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
4344 KISSENA BLVD
SUITE 9D
FLUSHING NY, 11355-3784, US
Phone (347) 204-3714
Fax
Business Location
4344 KISSENA BLVD
SUITE 9D
FLUSHING NY, 11355-3784, US
Phone (347) 204-3714
Fax
Toxanomy
Taxonomy Code 213E00000X
License State New York
License Number N004410
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According to our database, Dr. Oliver Gregory Mackey D.P.M. NPI is 1003811050, taxonomy code is 213E00000X and license number is N004410, license state is located at New York. Oliver Gregory Mackey D.P.M. physically located at 4344 Kissena Blvd, Flushing NY, 11355-3784. NPI Number Oliver Gregory Mackey D.P.M. has the Individual type.

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1003811050 NPI number is provided on an as is basis without warranty of any kind. 1003811050 is maintained by the National Plan & Provider Enumeration System. The contents of Oliver Gregory Mackey D.P.M. are for informational purposes only.