Rotella, Mackenzie Renee
Rotella, Mackenzie Renee is an individual health care provider with primary practice located at 739 Irving Ave Ste 200 , Syracuse NY 13210-1668. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Rotella, Mackenzie Renee can be contacted via phone (315) 479-5070.Contact Information
Primary practice address
739 Irving Ave Ste 200
Syracuse NY 13210-1668
Phone: (315) 479-5070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | F340681-1 | New York |
Profile Details
| NPI number | 1093268153 |
|---|---|
| LBN Legal business name | Rotella, Mackenzie Renee |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2016 |
| Last updated | Mar 16th, 2021 - about 3 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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