Healthcare Provider Details

I. General information

NPI: 1699550863
Provider Name (Legal Business Name): MARYPAT MARIE ANNABLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3360 SMITH HOLLOW RD
MARIETTA NY
13110-3286
US

IV. Provider business mailing address

3360 SMITH HOLLOW RD
MARIETTA NY
13110-3286
US

V. Phone/Fax

Practice location:
  • Phone: 315-657-2890
  • Fax:
Mailing address:
  • Phone: 315-657-2890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number373338-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: