Individual
MACKENZIE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
306 MALCOLM X BLVD, NEW YORK, NY 10027-4465
(212) 803-2850
Mailing address
193 MARCUS GARVEY BLVD APT 303, BROOKLYN, NY 11221-6287
(781) 375-8605
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
895328
NY
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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