National Provider Identifier
Mary T Phelan, NP
Mary T Phelan, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 630-1000.
Profile Overview
- NPI
- 1790793321
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 03, 2006
- Last Updated
- August 24, 2018
Practice Location
- 85 High St
- Buffalo, NY 14203
Phone: (716) 630-1000
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-5782
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1790793321
- Entity Type
- Individual
- Last Name
- Phelan
- First Name
- Mary
- Middle Name
- T
- Credential
- NP
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5782
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 85 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203
- Practice Country
- US
- Practice Phone
- (716) 630-1000
- Practice Fax
- (716) 859-4035
- Enumeration Date
- August 03, 2006
- Last Updated
- August 24, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 00027329201 (NY, Univera), 161000580 (NY, Nova), 9512998 (NY, Iha), 000560974001 (NY, Health Now), 02699521 (NY)