Cunningham, Mary J
Cunningham, Mary J is an individual health care provider with primary practice located at 475 Irving Ave Ste 204 , Syracuse NY 13210-1529. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Cunningham, Mary J can be contacted via phone (315) 634-4112.Contact Information
Primary practice address
475 Irving Ave Ste 204
Syracuse NY 13210-1529
Phone: (315) 634-4112
Fax: (315) 634-4117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 185656 | New York |
Profile Details
| NPI number | 1902902760 |
|---|---|
| LBN Legal business name | Cunningham, Mary J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jan 13th, 2020 - about 6 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 | 1902902760 | NPPES |
| New York | MEDICAID | 01274419 |
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