Mulholland, Mackenzie Ryan

Mulholland, Mackenzie Ryan is an sole proprietor health care provider with primary practice located at 305 Mount Vernon Ave , Medford NY 11763-3112. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Mulholland, Mackenzie Ryan can be contacted via phone (631) 901-6970.

Contact Information

Primary practice address
305 Mount Vernon Ave Medford NY 11763-3112
Phone: (631) 901-6970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1083480982
LBN Legal business name Mulholland, Mackenzie Ryan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2023
Last updated Nov 30th, 2023 - about last year

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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