(800) 868-1923

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: