Gaylord, Mary E

Gaylord, Mary E is an individual health care provider with primary practice located at 305 Columbia St , Rensselaer NY 12144-2920. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gaylord, Mary E can be contacted via phone (518) 434-0220.

Contact Information

Primary practice address
305 Columbia St Rensselaer NY 12144-2920
Phone: (518) 434-0220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 039931 New York

Profile Details

NPI number 1518140532
LBN Legal business name Gaylord, Mary E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2007
Last updated Dec 12th, 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 1518140532 NPPES
New York MEDICAID 01216619

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