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NPI Code Detail

MEDICARE: ESTHER M MCKENZIE MD

MEDICARE:   ESTHER M MCKENZIE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LC0200XCritical Care Medicine (Anesthesiology) PhysicianME06866FL
2207L00000XAnesthesiology Physician216442NY
3207L00000XAnesthesiology PhysicianME06866FL

Other Identifiers

General Provider Information

NPI Number : 1073693305
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER M MCKENZIE MD
Provider Business Mailing Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-0000
Fax Number :
Provider Business Practice Location Address
First Line : 75 BEEKMAN ST
Second Line :
City : PLATTSBURGH
State : NY
Zip : 12901-1427
Country : US
Telephone Number : 518-561-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 08/08/2025

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