Clyde, Mary L

Clyde, Mary L is an sole proprietor health care provider with primary practice located at 29 Crane St , Clifton Springs NY 14432-1061. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clyde, Mary L can be contacted via phone (315) 462-7221.

Contact Information

Primary practice address
29 Crane St Clifton Springs NY 14432-1061
Phone: (315) 462-7221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 143853-1 New York

Profile Details

NPI number 1295962595
LBN Legal business name Clyde, Mary L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2009
Last updated Jun 15th, 2009 - about 17 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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