National Provider Identifier

Mary Carol Scrocco, NURSE PRACTITIONER

Mary Carol Scrocco, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 898-3388.

NPI 1437474715Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1437474715
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
March 30, 2010
Last Updated
March 30, 2010

Practice Location

  • 462 Grider St
  • Pod 154
  • Buffalo, NY 14215-0000

Phone: (716) 898-3388

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1437474715
Entity Type
Individual
Last Name
Scrocco
First Name
Mary
Middle Name
Carol
Credential
NURSE PRACTITIONER
Provider Other Last Name
Noonen
Provider Other First Name
Mary
Provider Other Middle Name
Carol
Provider Other Credential Text
NURSE PRACTITIONER
Provider Other Last Name Type Code
1
Mailing Street Address
462 Grider St
Mailing Address Line 2
Pod 154
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-0000
Mailing Country
US
Mailing Phone
(716) 898-3388
Mailing Fax
(716) 898-4532
Practice Street Address
462 Grider St
Practice Address Line 2
Pod 154
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-0000
Practice Country
US
Practice Phone
(716) 898-3388
Practice Fax
(716) 898-4532
Enumeration Date
March 30, 2010
Last Updated
March 30, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)