Individual provider · Type 1 NPI

Mackenzie Renee Rotella, NP-C

Primary Care Nurse Practitioner · Syracuse, NY

NPI number 1093268153 Active

Practice location

739 Irving Ave Ste 200
Syracuse, NY 13210-1668

Call (315) 479-5070 Map

Mailing address

1001 W Fayette St Ste 400
Syracuse, NY 13204-2866

Other practice locations

739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 · (315) 479-5070

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner Primary	363LP2300X	F340681-1 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1093268153

Mackenzie Renee Rotella, NP-C's National Provider Identifier is 1093268153, issued on Jul 25, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Syracuse, NY. The record was last updated on Mar 16, 2021.