Individual
MACKENZIE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 6TH AVE, NEW YORK, NY 10020-1511
(646) 789-4843
Mailing address
2315 30TH AVE APT B2, ASTORIA, NY 11102-3214
(518) 817-9884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009845
NY
Other
Enumeration date
06/29/2023
Last updated
06/30/2023
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