Individual
MONA MELODY MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12929 133RD ST, SOUTH OZONE PARK, NY 11420-3401
(646) 894-7879
Mailing address
12929 133RD ST, SOUTH OZONE PARK, NY 11420-3401
(646) 894-7879
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002165
NY
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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