Mackey, Jennifer E

Mackey, Jennifer E is an individual health care provider with primary practice located at 750 E Adams St Emergency Medicine, Syracuse NY 13210-2306. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Mackey, Jennifer E can be contacted via phone (315) 464-6393.

Contact Information

Primary practice address
750 E Adams St Emergency Medicine Syracuse NY 13210-2306
Phone: (315) 464-6393
Fax: (315) 464-8690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 243616 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 243616 New York

Profile Details

NPI number 1548489578
LBN Legal business name Mackey, Jennifer E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Oct 26th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548489578 NPPES
New York MEDICAID 02877925

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