National Provider Identifier
Mackenzie Ann Corcoran
Mackenzie Ann Corcoran is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 279-4800.
Profile Overview
- NPI
- 1689434466
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 20, 2024
- Last Updated
- March 20, 2024
Practice Location
- 777 Clinton Ave S
- Rochester, NY 14620-1448
Phone: (585) 279-4800
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1689434466
- Entity Type
- Individual
- Last Name
- Corcoran
- First Name
- Mackenzie
- Middle Name
- Ann
- Mailing Street Address
- 777 Clinton Ave S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1448
- Mailing Country
- US
- Mailing Phone
- (585) 279-4800
- Mailing Fax
- (585) 442-8319
- Practice Street Address
- 777 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1448
- Practice Country
- US
- Practice Phone
- (585) 279-4800
- Practice Fax
- (585) 442-8319
- Enumeration Date
- March 20, 2024
- Last Updated
- March 20, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)