National Provider Identifier

Erwin McKenzie

Erwin McKenzie is listed in the NPPES registry with a primary specialty of Counselor in Brockport, NY and a listed phone number of (940) 337-5693.

NPI 1306380894Brockport, NYCounselor

Profile Overview

NPI
1306380894
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
December 19, 2016
Last Updated
December 19, 2016

Practice Location

  • 193 Calebs Trl
  • Brockport, NY 14420-1242

Phone: (940) 337-5693

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1306380894
Entity Type
Individual
Last Name
McKenzie
First Name
Erwin
Mailing Street Address
193 Calebs Trl
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1242
Mailing Country
US
Mailing Phone
(940) 337-5693
Practice Street Address
193 Calebs Trl
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-1242
Practice Country
US
Practice Phone
(940) 337-5693
Enumeration Date
December 19, 2016
Last Updated
December 19, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)