Mackenzie, Sabrina Grace
Mackenzie, Sabrina Grace is an sole proprietor health care provider with primary practice located at 2820 Route 104 , East Quogue NY 11942-3711. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mackenzie, Sabrina Grace can be contacted via phone (631) 579-5694.Contact Information
Primary practice address
2820 Route 104
East Quogue NY 11942-3711
Phone: (631) 579-5694
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 312425 | New York |
Profile Details
| NPI number | 1548606544 |
|---|---|
| LBN Legal business name | Mackenzie, Sabrina Grace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2013 |
| Last updated | May 16th, 2013 - about 11 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 | 1548606544 | NPPES |
| New York | MEDICAID | SGM1457 |
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