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Mary Mckillop
Specialist in Ravena, New York
NPI 1891243218

Mary Mckillop is a Specialist based in Ravena, NY. Mary Mckillop practices in Ravena, NY. The NPI Number for Mary Mckillop is 1891243218 and holds a License No. 304575 (New York).

The current practice location address for Mary Mckillop is 14379 Rt 9W, Ravena, NY and can be reached out via phone at 518-756-3124 and via fax at 518-756-9476.

Location: 14379 Rt 9W, Ravena, NY, 12143-3103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891243218
Provider Name
Mary Mckillop
Credential
Provider Entity Type
Individual
Gender
Female
Address
14379 Rt 9W, Ravena, NY, 12143-3103
Phone Number
518-756-3124
Fax Number
518-756-9476
Provider Enumeration Date
09/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14379 Rt 9W
City
Ravena
State
New York
Zip
12143-3103
Phone Number
518-756-3124
Fax Number
518-756-9476
person
Provider Business Mailing Address Details
Address
14379 Rt 9W
City
Ravena
State
New York
Zip
12143-3103
Phone Number
518-756-3124
Fax Number
518-756-9476
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
304575 (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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