Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Costner McKenzie, MD

Individual provider Dermatology Physician · NPI 1003361171

Costner McKenzie, MD is a Dermatology in New York, New York. Graduated from Northwestern University Feinberg Medical School in 2020, 6 years ago. Practices with Ronald R Brancaccio MD and Peter Saitta DO PC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Trained at
Northwestern University Feinberg Medical School
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

69 E 76th St
New York, NY 10021-1826
Phone: (800) 778-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Park Ave, New York, NY 10028-0934 — (800) 778-3090

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 323540 (NY)

Record details

NPI number1003361171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2016
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Ronald R Brancaccio Md And Peter Saitta Do Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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