person
Mary P Lane, NP
Pediatric Nurse Practitioner in Stony Brook, New York
NPI 1629237284

Mary P Lane is a Pediatric Nurse Practitioner based in Stony Brook, NY and is specialized in Pediatrics. Mary P Lane practices in Stony Brook, NY and has the professional credentials of NP. The NPI Number for Mary P Lane is 1629237284 and holds a License No. F300770 (New York).

The current practice location address for Mary P Lane is Stony Brook Univ Med Ical Ctr, Stony Brook, NY and can be reached out via phone at 631-444-1210 and via fax at 631-444-1535.

Location: Stony Brook Univ Med Ical Ctr, Stony Brook, NY, 11794-0001
person
Provider Profile Details
NPI Number
1629237284
Provider Name
Mary P Lane
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
Stony Brook Univ Med Ical Ctr, Stony Brook, NY, 11794-0001
Phone Number
631-444-1210
Fax Number
631-444-1535
Provider Enumeration Date
06/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Stony Brook Univ Med Ical Ctr
City
State
Zip
11794-0001
Phone Number
631-444-1210
Fax Number
631-444-1535
person
Provider Business Mailing Address Details
Address
Stony Brook Univ Med Ical Ctr
City
State
Zip
11794-0001
Phone Number
631-444-1210
Fax Number
631-444-1535
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F380761 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F300770 (New York)
Definition
Definition to come...
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