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Individual

SAMUEL J MACKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-5718
(585) 275-2559
Mailing address
601 ELMWOOD AVE BOX 673, ROCHESTER, NY 14642-0001
(585) 275-2559

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
309805
NY
208000000X
Pediatrics Physician
4301107318
MI
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
309805
NY

Other

Enumeration date
05/08/2015
Last updated
07/07/2023
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