Altman, Mary Rose
Altman, Mary Rose is an individual health care provider with primary practice located at 600 E Genesee St Suite 323, Syracuse NY 13202-3130. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Altman, Mary Rose can be contacted via phone (315) 476-1645.Contact Information
Primary practice address
600 E Genesee St Suite 323
Syracuse NY 13202-3130
Phone: (315) 476-1645
Fax: (315) 476-5640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | F0003641 | New York |
Profile Details
| NPI number | 1710969126 |
|---|---|
| LBN Legal business name | Altman, Mary Rose |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1710969126 | NPPES |
| New York | MEDICAID | 01982787 |
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