Individual provider · Type 1 NPI

Mackenzie Bragan, PA-C

Medical Physician Assistant · Syracuse, NY

NPI number 1245012541 Active

Practice location

736 Irving Ave
Syracuse, NY 13210-1602

Call (315) 470-7111 Map

Mailing address

6585 Penn Ave
Pittsburgh, PA 15206-4407

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X030887 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1245012541

Mackenzie Bragan, PA-C's National Provider Identifier is 1245012541, issued on Oct 20, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Syracuse, NY. The record was last updated on Oct 20, 2023.