Mackenzie Shirley Siskavich
NPI #1164251559 in Morrisonville, New York
Provider Information
- NPI Number
- 1164251559
- Entity Type
- Individual
- Name
- Mackenzie Shirley Siskavich
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 1, 2024
- Last Updated
- Aug 1, 2024
Practice Location
- Address
- 1939 STATE ROUTE 22B APT A
- City
- Morrisonville
- State
- New York
- ZIP Code
- 12962-3652
- Phone
- (518) 569-6578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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