Mackenzie Mahajan, PA-C

NPI #1518618677 in Oswego, New York

Provider Information

NPI Number: 1518618677
Entity Type: Individual
Name: Mackenzie Mahajan, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 11, 2022
Last Updated: Oct 4, 2022

Practice Location

Address: 42 MONTCALM ST
City: Oswego
State: New York
ZIP Code: 13126-1321
Phone: (315) 343-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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