Evanco-Caryk, Mary Michael

Evanco-Caryk, Mary Michael is an individual health care provider with primary practice located at 2128 Elmwood Ave , Buffalo NY 14207-1910. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Evanco-Caryk, Mary Michael can be contacted via phone (716) 874-4500.

Contact Information

Primary practice address
2128 Elmwood Ave Buffalo NY 14207-1910
Phone: (716) 874-4500
Fax: (716) 874-3195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 3533080 New York

Profile Details

NPI number 1851369466
LBN Legal business name Evanco-Caryk, Mary Michael
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - 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 1851369466 NPPES
New York MEDICAID 01465154

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