Wadsworth, Mary

Wadsworth, Mary is an individual health care provider with primary practice located at 1820 Clinton Ave S , Rochester NY 14618-2608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wadsworth, Mary can be contacted via phone (585) 473-2846.

Contact Information

Primary practice address
1820 Clinton Ave S Rochester NY 14618-2608
Phone: (585) 473-2846
Fax: (585) 473-2022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 332849 New York

Profile Details

NPI number 1801868997
LBN Legal business name Wadsworth, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 20th, 2014 - about 12 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 1801868997 NPPES
New York MEDICAID 02226406

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