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

Mackenzie Ryan Mulholland

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083480982

Mackenzie Ryan Mulholland is a Student in an Organized Health Care Education/Training Program in Glen Head, New York. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

131 Brookville Rd
Glen Head, NY 11545-3329
Phone: (516) 626-1736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 Mount Vernon Ave, Medford, NY 11763-3112 — (631) 901-6970

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083480982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2023
Last updated in NPPESDecember 7, 2024
Certification dateDecember 7, 2024
Mailing address70 Watergate Ln, Patchogue, NY 11772-3433

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