Individual
MACENZIE BIGNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1744 W GENESEE ST, SYRACUSE, NY 13204-1902
(315) 468-3414
Mailing address
4376 GEORGIAN CT APT A34, LIVERPOOL, NY 13090-3992
(315) 414-8322
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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