Foster, Mary J.

Foster, Mary J. is an individual health care provider with primary practice located at 200 Madison Ave 3Rd Floor, Elmira NY 14901-3218. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Foster, Mary J. can be contacted via phone (607) 734-1581.

Contact Information

Primary practice address
200 Madison Ave 3Rd Floor Elmira NY 14901-3218
Phone: (607) 734-1581
Fax: (607) 734-0972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331091 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 331091 New York

Profile Details

NPI number 1245282433
LBN Legal business name Foster, Mary J.
Credentials RN, CS, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jun 10th, 2016 - about 9 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 1245282433 NPPES
New York MEDICAID 01570456

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