Nevins, Mary J

Nevins, Mary J is an individual health care provider with primary practice located at 84 Broad St , Glens Falls NY 12801-4381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Nevins, Mary J can be contacted via phone (518) 798-9538.

Contact Information

Primary practice address
84 Broad St Glens Falls NY 12801-4381
Phone: (518) 798-9538
Fax: (518) 798-9576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 189317 New York

Profile Details

NPI number 1710905062
LBN Legal business name Nevins, Mary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 5th, 2011 - about 15 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 1710905062 NPPES
New York MEDICAID 01344352

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