O'Donnell, Mary R

O'Donnell, Mary R is an individual health care provider with primary practice located at 80 Crossways Park Dr , Woodbury NY 11797-2047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. O'Donnell, Mary R can be contacted via phone (631) 796-9488.

Contact Information

Primary practice address
80 Crossways Park Dr Woodbury NY 11797-2047
Phone: (631) 796-9488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004014 New York

Profile Details

NPI number 1982833307
LBN Legal business name O'Donnell, Mary R
Credentials R.P.A.-C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2009
Last updated Sep 27th, 2018 - about 6 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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