Healthcare Provider Details

I. General information

NPI: 1760309256
Provider Name (Legal Business Name): MARY FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 JEFFERSON ST
BROOKLYN NY
11237-2085
US

IV. Provider business mailing address

260 JEFFERSON ST
BROOKLYN NY
11237-2085
US

V. Phone/Fax

Practice location:
  • Phone: 720-375-1956
  • Fax:
Mailing address:
  • Phone: 720-375-1956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: