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NPI Code Detail

MEDICARE: MS. MARY ELLEN SINGLAR RN

MEDICARE: MS. MARY ELLEN SINGLAR RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0200XPediatric Registered Nurse322019NY

General Provider Information

NPI Number : 1013041060
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ELLEN SINGLAR RN
Provider Business Mailing Address
First Line : 43 GLOVER AVE
Second Line :
City : YONKERS
State : NY
Zip : 10704-4203
Country : US
Telephone Number : 191-423-7573
Fax Number :
Provider Business Practice Location Address
First Line : 1770 STILLWELL AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-6409
Country : US
Telephone Number : 171-865-2979
Fax Number : 171-854-7910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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