Evangelist, Makenzi Colleen
Evangelist, Makenzi Colleen is an sole proprietor health care provider with primary practice located at 43 New Scotland Ave Mail Code 7, Albany NY 12208-3412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Evangelist, Makenzi Colleen can be contacted via phone (518) 262-6696.Contact Information
Primary practice address
43 New Scotland Ave Mail Code 7
Albany NY 12208-3412
Phone: (518) 262-6696
Fax: (518) 262-6770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 262155 | New York |
Profile Details
| NPI number | 1578724126 |
|---|---|
| LBN Legal business name | Evangelist, Makenzi Colleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Mar 19th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578724126 | NPPES |
| New York | MEDICAID | 03356278 |
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