Individual
MACKENZIE RYAN MULHOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 BROOKVILLE RD, GLEN HEAD, NY 11545-3329
(516) 626-1736
Mailing address
70 WATERGATE LN, PATCHOGUE, NY 11772-3433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2023
Last updated
12/07/2024
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