Individual
MACKENZIE DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7309 SENECA RD N, HORNELL, NY 14843-9691
(607) 282-5200
Mailing address
7309 SENECA RD N, HORNELL, NY 14843-9691
(607) 282-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
710902
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406633
NY
Other
Enumeration date
01/30/2023
Last updated
11/12/2025
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