Lane, Mary P
Lane, Mary P is an individual health care provider with primary practice located at Stony Brook Univ Med Ical Ctr T12, 080 Health Science Center, Stony Brook NY 11794-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lane, Mary P can be contacted via phone (631) 444-1210.Contact Information
Primary practice address
Stony Brook Univ Med Ical Ctr T12, 080 Health Science Center
Stony Brook NY 11794-0001
Phone: (631) 444-1210
Fax: (631) 444-1535
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F300770 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F380761 | New York |
Profile Details
NPI number | 1629237284 |
---|---|
LBN Legal business name | Lane, Mary P |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2008 |
Last updated | Jun 8th, 2008 - 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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