Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
496 COUNTY ROAD 111 BLDG F
MANORVILLE, NY 11949-3383 US
PECOS Enrolled

Travis James Mackey

Student


Overview

Travis James Mackey is a Student in the MANORVILLE area. Travis James Mackey primary office location is at 496 COUNTY ROAD 111 BLDG F and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1760063135 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
496 COUNTY ROAD 111 BLDG F
MANORVILLE, NY 11949-3383 US
Phone: (631)-929-5855
Fax:
Practice Mailing Information
24 WISCONSIN AVE
PORT JEFFERSON STATION, NY 11949-3383 US
Phone: (631)-942-1332
Fax:
License NumberState
062492NY