Individual
MRS. JEAN MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
440 STONETOWN RD, RINGWOOD, NJ 07456-1200
(914) 319-4606
Mailing address
440 STONETOWN RD, RINGWOOD, NJ 07456-1200
(914) 319-4606
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JM442597
HPN
NY
Enumeration date
06/05/2012
Last updated
11/18/2024
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