Provider Demographics
NPI:1962178079
Name:MACKEY, EMILEE MARGARET (FNP-C)
Entity type:Individual
Prefix:
First Name:EMILEE
Middle Name:MARGARET
Last Name:MACKEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:EMILEE
Other - Middle Name:MARGARET
Other - Last Name:CONNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1113 STATE ROUTE 13
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-3542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1113 STATE ROUTE 13
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-3542
Practice Address - Country:US
Practice Address - Phone:607-428-8004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY352660207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine