Nevins, Mary J
Nevins, Mary J is an individual health care provider with primary practice located at 84 Broad St , Glens Falls NY 12801-4381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Nevins, Mary J can be contacted via phone (518) 798-9538.Contact Information
Primary practice address
84 Broad St
Glens Falls NY 12801-4381
Phone: (518) 798-9538
Fax: (518) 798-9576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 189317 | New York |
Profile Details
| NPI number | 1710905062 |
|---|---|
| LBN Legal business name | Nevins, Mary J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Dec 5th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710905062 | NPPES |
| New York | MEDICAID | 01344352 |
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