IndividualActive
Dellshone Mckenzie
NPI 1174149744 · Contractor · Tenafly, NJ
Provider details
- NPI number
- 1174149744
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- M16221608308882 (NJ)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Practice location
24 W Railroad Ave Ste 168
Tenafly, NJ 07670-1735
Phone: (862) 668-0981
Approximate (ZIP-level) locationGet directions
Mailing address
24 W Railroad Ave Ste 168
Tenafly, NJ 07670-1735
Registry dates
- Enumerated
- 2020-06-19
- Last updated
- 2020-06-19
- Certified
- 2020-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.