Individual
NOILET MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, 5TH FLOOR, LONG ISLAND CITY, NY 11101-4008
(718) 391-8300
Mailing address
4132 EDSON AVE, BRONX, NY 10466-2012
(914) 433-2986
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
405490-1
NY
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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