National Provider Identifier
Mary E Tatar, PT
Mary E Tatar, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Brockport, NY and a listed phone number of (585) 395-6093.
Profile Overview
- NPI
- 1518060375
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 07, 2006
- Last Updated
- May 02, 2011
Practice Location
- 156 West Ave
- Brockport, NY 14420-1229
Phone: (585) 395-6093
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1518060375
- Entity Type
- Individual
- Last Name
- Tatar
- First Name
- Mary
- Middle Name
- E
- Name Prefix
- Mrs.
- Credential
- PT
- Provider Other Last Name
- Johnson
- Provider Other First Name
- Mary
- Provider Other Middle Name
- E
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- MSPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 156 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1229
- Mailing Country
- US
- Mailing Phone
- (585) 395-6093
- Mailing Fax
- (585) 395-6035
- Practice Street Address
- 156 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 395-6093
- Practice Fax
- (585) 395-6035
- Enumeration Date
- September 07, 2006
- Last Updated
- May 02, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 00355344 (NY), 11616502 (NY, Caqh)