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Mrs. Mary Carolyn Divita, OTR
Specialist in West Seneca, New York
NPI 1316220486

Mary Carolyn Divita is a Specialist based in Williamsville, NY. Mary Carolyn Divita practices in West Seneca, NY and has the professional credentials of OTR. The NPI Number for Mary Carolyn Divita is 1316220486 and holds a License No. 0037741 (New York).

The current practice location address for Mary Carolyn Divita is 355 Harlem Rd, West Seneca, NY and can be reached out via phone at 716-821-7182.

Location: 355 Harlem Rd, West Seneca, NY, 14221-3365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316220486
Provider Name
Mary Carolyn Divita
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
355 Harlem Rd, West Seneca, NY, 14221-3365
Phone Number
716-821-7182
Fax Number
Provider Enumeration Date
09/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0037741 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
355 Harlem Rd
City
West Seneca
State
New York
Zip
14224-1825
Phone Number
716-821-7182
Fax Number
person
Provider Business Mailing Address Details
Address
355 Harlem Rd
City
West Seneca
State
New York
Zip
14224-1825
Phone Number
716-821-7182
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0037741 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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