Most Relevant Information
Provider Data
NPI Number: | 1003290289 |
Provider Name: | SHANTEL MACKEY |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: | 2231925 |
Most Important Dates
Enumeration Date: | 07/16/2015 |
Last Updated: | 07/16/2015 |
Provider Practice Location
231 E PROSPECT AVE
APT 6C
MOUNT VERNON
NY
105502366
Practice Location Phone/Fax
Phone: | 9145636041 |
Fax: |
Provider Mailing Location
231 E PROSPECT AVE
APT 6C
MOUNT VERNON
NY
105502366
Provider Mailing Phone/Fax
Phone: | 9145636041 |
Fax: |