Individual
DR. JUSTIN ADAM MACKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 LEROY ST, DEPARTMENT OF EMERGENCY MEDICINE, POTSDAM, NY 13676-1786
(315) 265-3300
Mailing address
50 LEROY ST, DEPARTMENT OF EMERGENCY MEDICINE, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2711461
NY
Other
Enumeration date
04/06/2012
Last updated
06/08/2015
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