Provider Demographics
NPI:1710871322
Name:MCKENZIE, DELIA JUDY (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:DELIA
Middle Name:JUDY
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:DELIA
Other - Middle Name:JUDY
Other - Last Name:MCKENZIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DELIA MCKENZIE RN
Mailing Address - Street 1:932 E 55TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-1708
Mailing Address - Country:US
Mailing Address - Phone:347-731-2225
Mailing Address - Fax:
Practice Address - Street 1:932 E 55TH ST FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-1708
Practice Address - Country:US
Practice Address - Phone:347-731-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY605094163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic