Dr. Oliver Gregory Mackey
Podiatrist
4344 Kissena Blvd Suite 9d
Flushing
, New York 11355-3784
Dr. Oliver Gregory Mackey
Podiatrist
4344 Kissena Blvd Suite 9d
Flushing
, New York 11355-3784
(347) 204-3714
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Oliver Gregory Mackey
- 4344 Kissena Blvd Suite 9d
- Flushing, NY
- Zip : 11355-3784
- Phone : (347) 204-3714
Second Address
- Dr. Oliver Gregory Mackey
- 4344 Kissena Blvd Suite 9d
- Flushing, NY
- Zip : 11355-3784
- Phone : (347) 204-3714
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Is Dr. Oliver Gregory Mackey a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N004410 | NY |
| Y | 222Z00000X | Podiatrist | N004410 | NY |
National Provider Identifier
| NPI | 1003811050 |
|---|---|
| Provider Name | Dr. Oliver Gregory Mackey |
| First Address | Flushing, NY 11355-3784 |
| Second Address | Flushing, NY 11355-3784 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2005 |
| Last Update Date | 03/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01130276 | (05) | NY |
| T89836 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.