Individual provider · Type 1 NPI

Mackenzie Petrocci

Specialist · Oswego, NY

NPI number 1346658705 Active

Practice location

159 W 1st St
Oswego, NY 13126-2045

Call (315) 342-9575 Map

Mailing address

2390 County Route 4
Fulton, NY 13069-3659

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X459875533 (NY)

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 1346658705

Mackenzie Petrocci's National Provider Identifier is 1346658705, issued on Jul 30, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oswego, NY. The record was last updated on Jul 30, 2014.