Mackenzie Wild is a student in an organized health care education training program in North New Hyde Park, NY. The provider is 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. Mackenzie Wild NPI is 1578162384. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1991 MARCUS AVE
NORTH NEW HYDE PARK, NY
ZIP 11042-057
Phone: (401) 864-5520
The enumeration date for this NPI number is 10/22/2020 and was last updated on 10/22/2020.