National Provider Identifier
Mackenzie Nicole Swinehart
Mackenzie Nicole Swinehart is listed in the NPPES registry with a primary specialty of Gerontology Occupational Therapist in Newark, NY and a listed phone number of (315) 332-2700.
Profile Overview
- NPI
- 1821789900
- Provider Type
- Individual
- Primary Specialty
- Gerontology Occupational Therapist
- Enumeration Date
- May 18, 2023
- Last Updated
- May 18, 2023
Practice Location
- 100 Sunset Dr
- Newark, NY 14513-1068
Phone: (315) 332-2700
Mailing Address
- 212 Brookside Dr
- Waterloo, NY 13165-1838
Specialties
- Gerontology Occupational Therapist (225XG0600X)
Full Record
- NPI
- 1821789900
- Entity Type
- Individual
- Last Name
- Swinehart
- First Name
- Mackenzie
- Middle Name
- Nicole
- Mailing Street Address
- 212 Brookside Dr
- Mailing City
- Waterloo
- Mailing State
- NY
- Mailing ZIP Code
- 13165-1838
- Mailing Country
- US
- Mailing Phone
- (315) 651-0542
- Practice Street Address
- 100 Sunset Dr
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1068
- Practice Country
- US
- Practice Phone
- (315) 332-2700
- Enumeration Date
- May 18, 2023
- Last Updated
- May 18, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gerontology Occupational Therapist (225XG0600X)