MEDICARE: CHARLES HALLAM MACKENZIE HEALTH COACH

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
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1851009666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES HALLAM MACKENZIE HEALTH COACH

Provider Business Mailing Address
First Line	:	145 E 22ND ST APT 3C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5512
Country	:	US
Telephone Number	:	914-522-2604
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 E 22ND ST APT 3C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5512
Country	:	US
Telephone Number	:	914-522-2604
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	11/10/2022

Similar Medicare Providers

1801264817 — NYCACTS, INC
Practice Location Address:

145 E 22ND ST APT 2H
NEW YORK, NY
10010-5512

Practice Phone: 212-510-7906
Practice Fax:

1154602670 — MOHAMAD IRANI M.D.
Practice Location Address:

255 GREENWICH ST RM 540
NEW YORK, NY
10007-5512

Practice Phone: 646-962-7499
Practice Fax:

1326424094 — ADVANCED ACUPUNCTURE SERVICES
Practice Location Address:

205 W 54TH ST APT 1C
NEW YORK, NY
10019-5512

Practice Phone: 212-397-8988
Practice Fax: 212-397-8899

1104438514 — RIDE HEALTH, INC.
Practice Location Address:

29 W 17TH ST
NEW YORK, NY
10011-5512

Practice Phone: 833-267-7433
Practice Fax:

1255922597 — GOODBYE PAIN LLC
Practice Location Address:

205 W 54TH ST APT 1C
NEW YORK, NY
10019-5512

Practice Phone: 212-397-8988
Practice Fax:

1871912584 — CONCIERGE PHYSICAL THERAPY LTD.
Practice Location Address:

444 N YORK ST
ELMHURST, IL
60126-5512

Practice Phone: 773-824-6540
Practice Fax: 630-563-1743

Directions to “ CHARLES HALLAM MACKENZIE HEALTH COACH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.