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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 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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