Whitehead, Mary

Whitehead, Mary is an individual health care provider with primary practice located at 620 Madison St , Syracuse NY 13210-2319. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Whitehead, Mary can be contacted via phone (315) 426-3600.

Contact Information

Primary practice address
620 Madison St Syracuse NY 13210-2319
Phone: (315) 426-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 675891 New York

Profile Details

NPI number 1770120651
LBN Legal business name Whitehead, Mary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2019
Last updated Dec 10th, 2019 - about 5 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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