Cunningham, Mary J

Cunningham, Mary J is an individual health care provider with primary practice located at 475 Irving Ave Ste 204 , Syracuse NY 13210-1529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Cunningham, Mary J can be contacted via phone (315) 634-4112.

Contact Information

Primary practice address
475 Irving Ave Ste 204 Syracuse NY 13210-1529
Fax: (315) 634-4117
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 185656 New York

Profile Details

NPI number 1902902760
LBN Legal business name Cunningham, Mary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jan 13th, 2020 - about 4 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 1902902760 NPPES
New York MEDICAID 01274419

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