Individual
DR. DEXTER ANTHONY MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
490 NEW YORK AVE, SUITE LB1, BROOKLYN, NY 11225-4264
(718) 613-1500
(718) 613-1444
Mailing address
942 ROCKAWAY AVE, BROOKLYN, NY 11212-5237
(718) 613-1500
(718) 613-1444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
180953
NY
208000000X
Pediatrics Physician
180953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01395399
—
NY
Enumeration date
07/19/2006
Last updated
08/12/2014
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