Individual
CHRISTINE MARGARET MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(888) 750-2266
Mailing address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(888) 750-2266
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
621036
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
NY
Enumeration date
03/10/2019
Last updated
03/10/2019
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