Altman, Mary Rose

Altman, Mary Rose is an individual health care provider with primary practice located at 600 E Genesee St Suite 323, Syracuse NY 13202-3130. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Altman, Mary Rose can be contacted via phone (315) 476-1645.

Contact Information

Primary practice address
600 E Genesee St Suite 323 Syracuse NY 13202-3130
Phone: (315) 476-1645
Fax: (315) 476-5640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F0003641 New York

Profile Details

NPI number 1710969126
LBN Legal business name Altman, Mary Rose
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710969126 NPPES
New York MEDICAID 01982787

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