Miss Mackenzie Marguerite Northrup, | |
1129 Kenmore Ave, Kenmore, NY 14217-2845 | |
(716) 217-0010 | |
Not Available |
Full Name | Miss Mackenzie Marguerite Northrup |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1129 Kenmore Ave, Kenmore, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801488325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 013530-01 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 013530-01 (New York) | Primary |
Entity Name | Horizon Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043387152 PECOS PAC ID: 5698689925 Enrollment ID: O20031119000414 |
Mailing Address | Practice Location Address |
---|---|
Miss Mackenzie Marguerite Northrup, 1129 Kenmore Ave, Kenmore, NY 14217-2845 Ph: (716) 217-0010 | Miss Mackenzie Marguerite Northrup, 1129 Kenmore Ave, Kenmore, NY 14217-2845 Ph: (716) 217-0010 |
Abigail Gwendolyn Dailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 Elmwood Ave, Kenmore, NY 14217 Phone: 716-882-2127 | |
Heidi Billittier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 Elmwood Ave, Kenmore, NY 14217 Phone: 716-882-2127 | |
Brittany Zdybowicz, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 Westchester Blvd, Kenmore, NY 14217 Phone: 716-348-4053 | |
Sherman J Symes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 Elmwood Ave, Kenmore, NY 14217 Phone: 716-882-2127 | |
Bethany Kobus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 Elmwood Ave, Kenmore, NY 14217 Phone: 716-882-2127 | |
Katherine Wilkowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 Elmwood Ave, Kenmore, NY 14217 Phone: 716-882-2127 | |
Tara Nicole Meyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 Elmwood Ave, Kenmore, NY 14217 Phone: 716-882-2127 |