Individual
BETH CROLL MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-0864
Mailing address
45 ELLEN ST, OSWEGO, NY 13126-4009
(315) 343-1708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
09/18/2012
Last updated
07/21/2022
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