Abt-Fagan, Mary Jane

Abt-Fagan, Mary Jane is an individual health care provider with primary practice located at 6575 Kirkville Rd , East Syracuse NY 13057-9809. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Abt-Fagan, Mary Jane can be contacted via phone (315) 701-5710.

Contact Information

Primary practice address
6575 Kirkville Rd East Syracuse NY 13057-9809
Phone: (315) 701-5710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1700396686
LBN Legal business name Abt-Fagan, Mary Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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