Shierly, Mary P

Shierly, Mary P is an individual health care provider with primary practice located at 35 Empire State Blvd , Castleton NY 12033-9777. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shierly, Mary P can be contacted via phone (518) 477-2167.

Contact Information

Primary practice address
35 Empire State Blvd Castleton NY 12033-9777
Phone: (518) 477-2167
Fax: (518) 477-5182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4011 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 014042 New York

Profile Details

NPI number 1831401983
LBN Legal business name Shierly, Mary P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2010
Last updated Nov 21st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831401983 NPPES
New York MEDICAID 03532432

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