Individual
JOHN MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 BROADWAY # D10-36, ELMHURST, NY 11373-1329
(718) 334-3501
(718) 334-5006
Mailing address
7901 BROADWAY # D10-36, ELMHURST, NY 11373-1329
(718) 334-3501
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
306768
NY
Other
Enumeration date
05/11/2017
Last updated
07/07/2023
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