Individual provider · Type 1 NPI

McKenzie Tripp

Specialist · Oswego, NY

NPI number 1215548649 Active

Practice location

159 W 1st St
Oswego, NY 13126-2045

Mailing address

7648 Somerset Lane
Manlius, NY 13104

Other practice locations

  • 7648 Somerset Lane, Manlius, NY 13104 · (315) 200-0053

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1215548649

McKenzie Tripp's National Provider Identifier is 1215548649, issued on Aug 10, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oswego, NY. The record was last updated on Aug 10, 2020.