Individual
MACKENZIE LUCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 STATE ROUTE 35, RED BANK, NJ 07701-5920
(973) 590-1568
Mailing address
717 MOUNT PL, POINT PLEASANT BORO, NJ 08742-4577
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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