Individual
MACKENZIE RAE SYLVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2465 KENNEDY BLVD APT 3H, JERSEY CITY, NJ 07304-1998
(551) 260-8199
Mailing address
2465 KENNEDY BLVD APT 3H, JERSEY CITY, NJ 07304-1998
(551) 260-8199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024381
NY
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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