Individual provider · Type 1 NPI

Mackenson Saint Fort, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1629872007 Active

Practice location

1545 Atlantic Ave
Brooklyn, NY 11213-1122

Call (718) 613-4000 Map

Fax (718) 504-7621

Mailing address

38 Wall St Apt 8
Garnerville, NY 10923-1541

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629872007

Mackenson Saint Fort, MD's National Provider Identifier is 1629872007, issued on Apr 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 3, 2025.