National Provider Identifier

Mary R Hause, M.S.ED.

Mary R Hause, M.S.ED. is listed in the NPPES registry with a primary specialty of Specialist in Ithaca, NY and a listed phone number of (607) 272-5891.

NPI 1487917829Ithaca, NYSpecialist

Profile Overview

NPI
1487917829
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 20, 2012
Last Updated
June 20, 2012

Practice Location

  • 3226 Wilkins RD # Rc
  • Ithaca, NY 14850-9568

Phone: (607) 272-5891

Mailing Address

  • 409 Hook Pl
  • Ithaca, NY 14850-3124

Specialties

  • Specialist (174400000X)
Full Record
NPI
1487917829
Entity Type
Individual
Last Name
Hause
First Name
Mary
Middle Name
R
Credential
M.S.ED.
Mailing Street Address
409 Hook Pl
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3124
Mailing Country
US
Mailing Phone
(607) 256-1424
Practice Street Address
3226 Wilkins RD # Rc
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9568
Practice Country
US
Practice Phone
(607) 272-5891
Enumeration Date
June 20, 2012
Last Updated
June 20, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)