Individual
DR. MICHAEL MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
51 W 51ST ST, SUITE 350, NEW YORK, NY 10019-6113
(212) 326-8520
Mailing address
200 W 70TH ST, APT. 7N, NEW YORK, NY 10023-4323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058639
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2015
Last updated
01/03/2017
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