National Provider Identifier

Mary Robin Macintyre, CNM, RN, NP

Mary Robin Macintyre, CNM, RN, NP is listed in the NPPES registry with a primary specialty of Advanced Practice Midwife in Rochester, NY and a listed phone number of (585) 922-4200.

NPI 1144217134Rochester, NYAdvanced Practice Midwife

Profile Overview

NPI
1144217134
Provider Type
Individual
Primary Specialty
Advanced Practice Midwife
Enumeration Date
October 04, 2005
Last Updated
November 19, 2019

Practice Location

  • 1415 Portland Ave
  • Ste 400
  • Rochester, NY 14621-3038

Phone: (585) 922-4200

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Advanced Practice Midwife (367A00000X)
  • Midwife (176B00000X)
  • Obstetrics & Gynecology Nurse Practitioner (363LX0001X)
Full Record
NPI
1144217134
Entity Type
Individual
Last Name
Macintyre
First Name
Mary
Middle Name
Robin
Credential
CNM, RN, NP
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-0553
Practice Street Address
1415 Portland Ave
Practice Address Line 2
Ste 400
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3038
Practice Country
US
Practice Phone
(585) 922-4200
Enumeration Date
October 04, 2005
Last Updated
November 19, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Advanced Practice Midwife (367A00000X), Midwife (176B00000X), Obstetrics & Gynecology Nurse Practitioner (363LX0001X)
Other Identifiers
000924350001 (NY, Healthnow Provider Id#), 161568690 (NY, Empire), 7277063 (NY, Aetna Provider Id Number), 01874840 (NY), P010000617 (NY, Blue Choice), 161568690 (NY, Pomco Provider Id#), 1899724 (NY, Ghi Ppo Provider Id#)