MEDICARE: MARY COON

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
1	235Z00000X	Speech-Language Pathologist	006038	NY

General Provider Information

NPI Number	:	1487931697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY COON

Provider Business Mailing Address
First Line	:	4278 CLEVELAND RD
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13215-2416
Country	:	US
Telephone Number	:	315-469-3892
Fax Number	:

Provider Business Practice Location Address
First Line	:	4278 CLEVELAND RD
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13215-2416
Country	:	US
Telephone Number	:	315-469-3892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	11/16/2011

Similar Medicare Providers

1780200642 — CHANTAE BLOUNT LCSW
Practice Location Address:

4949 VELASKO RD
SYRACUSE, NY
13215-1930

Practice Phone: 800-245-7277
Practice Fax:

1386582468 — PATRICIA ANN GUTCHESS
Practice Location Address:

4900 BROAD RD
SYRACUSE, NY
13215-2265

Practice Phone: 315-492-5011
Practice Fax:

1841140811 — REMIND NP IN PSYCHIATRY AND FAMILY HEALTH PLLC
Practice Location Address:

5108 VELASKO RD STE 2000
SYRACUSE, NY
13215-1982

Practice Phone: 315-924-7555
Practice Fax: 315-306-7737

1922075407 — LISA M ROBERT CRNA
Practice Location Address:

4900 BROAD RD
SYRACUSE, NY
13215-2265

Practice Phone: 315-492-5522
Practice Fax:

1164107850 — MARISSA HAKES RN, CNM
Practice Location Address:

4900 BROAD RD
SYRACUSE, NY
13215-2265

Practice Phone: 315-492-5011
Practice Fax:

1356344311 — JANICE BEAMAN NP, CNM
Practice Location Address:

4850 BROAD RD , STE 2C
SYRACUSE, NY
13215-5103

Practice Phone: 315-492-5915
Practice Fax: 315-492-5210

Directions to “ MARY COON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.