O'Neill-Huber, Mary Lou
O'Neill-Huber, Mary Lou is an individual health care provider with primary practice located at 121 Erie Canal Dr Suite B, Rochester NY 14626-4605. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. O'Neill-Huber, Mary Lou can be contacted via phone (585) 225-5420.Contact Information
Primary practice address
121 Erie Canal Dr Suite B
Rochester NY 14626-4605
Phone: (585) 225-5420
Fax: (585) 225-5644
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 205258 | New York |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 205258 | New York |
Profile Details
NPI number | 1013977495 |
---|---|
LBN Legal business name | O'Neill-Huber, Mary Lou |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2006 |
Last updated | Jan 12th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013977495 | NPPES |
New York | Other | 5795663 | AETNA |
New York | Other | MDB767 | AETNA |
New York | MEDICAID | 01740234 | AETNA |
New York | Other | P010205258 | AETNA |
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