Hyde, Mary M

Hyde, Mary M is an sole proprietor health care provider with primary practice located at 4 Chantilly Ln , Fairport NY 14450-4620. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Hyde, Mary M can be contacted via phone (585) 223-3003.

Contact Information

Primary practice address
4 Chantilly Ln Fairport NY 14450-4620
Phone: (585) 223-3003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 492549-1 New York

Profile Details

NPI number 1093034613
LBN Legal business name Hyde, Mary M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2010
Last updated May 21st, 2010 - about 14 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 1093034613 NPPES
New York Other 492549-1 RN

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