Shantel Mackey

NPI #1003290289 in Mount Vernon, New York

Provider Information

NPI Number: 1003290289
Entity Type: Individual
Name: Shantel Mackey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 16, 2015
Last Updated: Jul 16, 2015

Practice Location

Address: 231 E PROSPECT AVE
Address 2: APT 6C
City: Mount Vernon
State: New York
ZIP Code: 10550-2366
Phone: (914) 563-6041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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