Mackenzie Rodgers

NPI #1720621881 in Medford, New York

Provider Information

NPI Number: 1720621881
Entity Type: Individual
Name: Mackenzie Rodgers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 22, 2019
Last Updated: Oct 22, 2019

Practice Location

Address: 1727 N OCEAN AVE
City: Medford
State: New York
ZIP Code: 11763-2649
Phone: (631) 654-1919

Specialties & Taxonomy Codes

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

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