Noonan, Mary Rose

Noonan, Mary Rose is an individual health care provider with primary practice located at 2630 Remington Rd , Utica NY 13501-6313. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Noonan, Mary Rose can be contacted via phone (315) 368-6755.

Contact Information

Primary practice address
2630 Remington Rd Utica NY 13501-6313
Phone: (315) 368-6755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 11831401 New York

Profile Details

NPI number 1306556535
LBN Legal business name Noonan, Mary Rose
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2022
Last updated Dec 19th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306556535 NPPES
New York MEDICAID 11831401

Popular Providers