ILISA MACKOY

NEW YORK, NY
NPI1861927972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ME  MD25740)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-26
Last Update Date2022-06-14
Business Address
ILISA MACKOY M.D.
1468 MADISON AVE
NEW YORK, NY 10029-6508
Phone number: 212-241-4441
Mailing Address
ILISA MACKOY M.D.
69 FRUIT ST
BANGOR, ME 04401-5521
Phone number: 850-728-5817