National Provider Identifier
Susan E Mackenzie, NP
Susan E Mackenzie, NP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-2575.
Profile Overview
- NPI
- 1497820062
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- November 21, 2006
- Last Updated
- August 25, 2008
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-2575
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1497820062
- Entity Type
- Individual
- Last Name
- Mackenzie
- First Name
- Susan
- Middle Name
- E
- Credential
- NP
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-2575
- Mailing Fax
- (585) 922-5033
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-2575
- Practice Fax
- (585) 922-5033
- Enumeration Date
- November 21, 2006
- Last Updated
- August 25, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)
- Other Identifiers
- 02795393 (NY)