Dinnan, Mary A

Dinnan, Mary A is an individual health care provider with primary practice located at 1338 E Ridge Rd Suite 101, Rochester NY 14621-2018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dinnan, Mary A can be contacted via phone (585) 922-7140.

Contact Information

Primary practice address
1338 E Ridge Rd Suite 101 Rochester NY 14621-2018
Phone: (585) 922-7140
Fax: (585) 336-9029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000557 New York

Profile Details

NPI number 1194792960
LBN Legal business name Dinnan, Mary A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Aug 6th, 2009 - about 17 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 1194792960 NPPES
New York MEDICAID 01954145

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