National Provider Identifier

Mary Sandra Cole

Mary Sandra Cole is listed in the NPPES registry with a primary specialty of Specialist in North Tonawanda, NY and a listed phone number of (716) 695-4457.

NPI 1861045429North Tonawanda, NYSpecialist

Profile Overview

NPI
1861045429
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 22, 2019
Last Updated
July 22, 2019

Practice Location

  • 1730 Ruie RD
  • North Tonawanda, NY 14120-1975

Phone: (716) 695-4457

Specialties

  • Specialist (174400000X)
Full Record
NPI
1861045429
Entity Type
Individual
Last Name
Cole
First Name
Mary
Middle Name
Sandra
Mailing Street Address
1730 Ruie RD
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-1975
Mailing Country
US
Mailing Phone
(716) 695-4457
Practice Street Address
1730 Ruie RD
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-1975
Practice Country
US
Practice Phone
(716) 695-4457
Enumeration Date
July 22, 2019
Last Updated
July 22, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)