Individual
HUGH L.A MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NPP
Contact information
Practice address
225 S PLANK RD STE 2, NEWBURGH, NY 12550-2693
(845) 610-5198
(845) 259-1223
Mailing address
PO BOX 2074, MONROE, NY 10949-8574
(845) 610-5198
(845) 259-1223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
460673-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401498
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03722332
—
NY
Enumeration date
12/05/2008
Last updated
05/18/2020
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