National Provider Identifier
Mary D. Driesch, MD
Mary D. Driesch, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Penn Yan, NY and a listed phone number of (315) 536-2752.
Profile Overview
- NPI
- 1508869199
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 27, 2005
- Last Updated
- January 22, 2013
Practice Location
- 160 Main St
- Penn Yan, NY 14527-1204
Phone: (315) 536-2752
Mailing Address
- PO Box 423
- Penn Yan, NY 14527-0423
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1508869199
- Entity Type
- Individual
- Last Name
- Driesch
- First Name
- Mary
- Middle Name
- D.
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- PO Box 423
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-0423
- Mailing Country
- US
- Mailing Phone
- (315) 531-9102
- Mailing Fax
- (315) 531-9103
- Practice Street Address
- 160 Main St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1204
- Practice Country
- US
- Practice Phone
- (315) 536-2752
- Practice Fax
- (315) 536-4005
- Enumeration Date
- May 27, 2005
- Last Updated
- January 22, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01108927 (NY)