National Provider Identifier
Alice Jane McKinzie, DO
Alice Jane McKinzie, DO is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Elmira, NY and a listed phone number of (607) 737-7002.
Profile Overview
- NPI
- 1720025075
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- June 02, 2006
- Last Updated
- July 16, 2024
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 737-7002
Mailing Address
- 21808 SR 54
- Lutz, FL 33549
Specialties
- Psychiatry Physician (2084P0800X)
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1720025075
- Entity Type
- Individual
- Last Name
- McKinzie
- First Name
- Alice
- Middle Name
- Jane
- Credential
- DO
- Mailing Street Address
- 21808 SR 54
- Mailing City
- Lutz
- Mailing State
- FL
- Mailing ZIP Code
- 33549
- Mailing Country
- US
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-7002
- Practice Fax
- (607) 271-3435
- Enumeration Date
- June 02, 2006
- Last Updated
- July 16, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Psychiatry Physician (2084P0800X)
- Other Identifiers
- 05336383 (NY), 103598538 (PA)