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NPI Code Detail

MEDICARE: MOLLY B CASE RN

MEDICARE: MOLLY B CASE 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
1163WG0000XGeneral Practice Registered Nurse489781-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1489781-1OTHERNYRN

General Provider Information

NPI Number : 1215000377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY B CASE RN
Provider Business Mailing Address
First Line : 6301 INDUCON DR E
Second Line :
City : SANBORN
State : NY
Zip : 14132-9014
Country : US
Telephone Number : 716-731-2030
Fax Number : 716-731-3010
Provider Business Practice Location Address
First Line : 6301 INDUCON DR E
Second Line :
City : SANBORN
State : NY
Zip : 14132-9014
Country : US
Telephone Number : 716-731-2030
Fax Number : 716-731-3010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 07/08/2007

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