National Provider Identifier

Mary Cooke

Mary Cooke is listed in the NPPES registry with a primary specialty of Specialist in Mount Morris, NY and a listed phone number of (585) 658-4023.

NPI 1114332335Mount Morris, NYSpecialist

Profile Overview

NPI
1114332335
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 26, 2014
Last Updated
June 26, 2014

Practice Location

  • 5871 Groveland Station RD
  • Mount Morris, NY 14510-9767

Phone: (585) 658-4023

Specialties

  • Specialist (174400000X)
Full Record
NPI
1114332335
Entity Type
Individual
Last Name
Cooke
First Name
Mary
Mailing Street Address
5871 Groveland Station RD
Mailing City
Mount Morris
Mailing State
NY
Mailing ZIP Code
14510-9767
Mailing Country
US
Mailing Phone
(585) 658-4023
Mailing Fax
(585) 658-4066
Practice Street Address
5871 Groveland Station RD
Practice City
Mount Morris
Practice State
NY
Practice ZIP Code
14510-9767
Practice Country
US
Practice Phone
(585) 658-4023
Practice Fax
(585) 658-4066
Enumeration Date
June 26, 2014
Last Updated
June 26, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)