National Provider Identifier

Maryjane Laird

Maryjane Laird is listed in the NPPES registry with a primary specialty of Specialist in Alexander, NY and a listed phone number of (585) 591-2049.

NPI 1699030064Alexander, NYSpecialist

Profile Overview

NPI
1699030064
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 11, 2012
Last Updated
July 11, 2012

Practice Location

  • 1 Bartz Dr
  • Alexander, NY 14005-9606

Phone: (585) 591-2049

Specialties

  • Specialist (174400000X)
Full Record
NPI
1699030064
Entity Type
Individual
Last Name
Laird
First Name
Maryjane
Provider Other Last Name
Laird
Provider Other First Name
Candy Maryjane
Provider Other Last Name Type Code
5
Mailing Street Address
1 Bartz Dr
Mailing City
Alexander
Mailing State
NY
Mailing ZIP Code
14005-9606
Mailing Country
US
Practice Street Address
1 Bartz Dr
Practice City
Alexander
Practice State
NY
Practice ZIP Code
14005-9606
Practice Country
US
Practice Phone
(585) 591-2049
Enumeration Date
July 11, 2012
Last Updated
July 11, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)