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NPI Code Detail

MEDICARE: MARY OBEAR MD PLLC

MEDICARE: MARY OBEAR MD PLLC
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
1207V00000XObstetrics & Gynecology Physician
2207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780698555
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARY OBEAR MD PLLC
Provider Business Mailing Address
First Line : 860 MAIN ROAD
Second Line :
City : CORFU
State : NY
Zip : 14036-9753
Country : US
Telephone Number : 585-599-6446
Fax Number : 585-599-3166
Provider Business Practice Location Address
First Line : 860 MAIN ROAD
Second Line :
City : CORFU
State : NY
Zip : 14036-9753
Country : US
Telephone Number : 585-599-6446
Fax Number : 585-599-3166
Authorized Official
Title or Position : OWNER
Name : DR. MARY E OBEAR
Credential : MD
Telephone Number : 585-599-6446
Provider Enumeration Date : 07/28/2006
Last Update Date : 11/16/2010

Similar Medicare Providers

1629034285 — DR. MARY EDITH OBEAR MD PHD
Practice Location Address:
860 MAIN RD
CORFU, NY
14036-9753
Practice Phone: 585-599-6446
Practice Fax: 585-599-3166
1689630725 — PETER J. KELLEY MS, FNP
Practice Location Address:
860 MAIN RD
CORFU, NY
14036-9753
Practice Phone: 585-599-6446
Practice Fax: 585-599-3166
1023074069 — LISA FEITSHANS MS, ANP, PNP
Practice Location Address:
860 MAIN RD
CORFU, NY
14036-9753
Practice Phone: 585-599-6446
Practice Fax: 585-599-3166
1013004654 — FRED A GABRIELE MS, FNP
Practice Location Address:
860 MAIN RD.
CORFU, NY
14036-9753
Practice Phone: 585-599-6446
Practice Fax: 585-599-3166
1619151560 — MRS. PEGGY S URBANCZYK RN
Practice Location Address:
860 MAIN RD STE 2
CORFU, NY
14036-9753
Practice Phone: 585-599-6446
Practice Fax: 585-344-3047
1699940940 — DR. MATTHEW M FERNAAYS MD
Practice Location Address:
860 MAIN RD
CORFU, NY
14036-9753
Practice Phone: 585-599-6446
Practice Fax: 585-599-3166

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