Macblane, Mary Elizabeth

Macblane, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 750 E Adams St Pediatrics, Syracuse NY 13210-2306. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Nursing Service Providers / Pediatrics is her primary health care specialty. Macblane, Mary Elizabeth can be contacted via phone (315) 464-5259.

Contact Information

Primary practice address
750 E Adams St Pediatrics Syracuse NY 13210-2306
Phone: (315) 464-5259
Fax: (315) 464-6398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 325340-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380760-1 New York

Profile Details

NPI number 1184726341
LBN Legal business name Macblane, Mary Elizabeth
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1184726341 NPPES
New York MEDICAID 02218940

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