MEDICARE: ROSEMARIE HURLEY MD

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	207Q00000X	Family Medicine Physician	161949	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1912995978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE HURLEY MD

Provider Business Mailing Address
First Line	:	4077 STATE ROUTE 281
Second Line	:
City	:	CORTLAND
State	:	NY
Zip	:	13045-1637
Country	:	US
Telephone Number	:	607-753-9977
Fax Number	:	607-753-7311

Provider Business Practice Location Address
First Line	:	4077 STATE ROUTE 281
Second Line	:
City	:	CORTLAND
State	:	NY
Zip	:	13045-1637
Country	:	US
Telephone Number	:	607-753-9977
Fax Number	:	607-753-7311

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	02/23/2012

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Directions to “ ROSEMARIE HURLEY MD” Practice Location

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