National Provider Identifier
Mary Katherine Conroy, OD
Mary Katherine Conroy, OD is listed in the NPPES registry with a primary specialty of Optometrist in Ithaca, NY and a listed phone number of (607) 257-5599.
Profile Overview
- NPI
- 1982957577
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- October 19, 2012
- Last Updated
- June 12, 2013
Practice Location
- 100 Uptown RD
- Ithaca, NY 14850-1632
Phone: (607) 257-5599
Mailing Address
- 1010 Saint Paul St Apt 8B
- Baltimore, MD 21202-2955
Specialties
- Optometrist (152W00000X)
- Optometrist (152W00000X)
Full Record
- NPI
- 1982957577
- Entity Type
- Individual
- Last Name
- Conroy
- First Name
- Mary
- Middle Name
- Katherine
- Credential
- OD
- Mailing Street Address
- 1010 Saint Paul St Apt 8B
- Mailing City
- Baltimore
- Mailing State
- MD
- Mailing ZIP Code
- 21202-2955
- Mailing Country
- US
- Practice Street Address
- 100 Uptown RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1632
- Practice Country
- US
- Practice Phone
- (607) 257-5599
- Enumeration Date
- October 19, 2012
- Last Updated
- June 12, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X), Optometrist (152W00000X)