Mary Short

NPI #1922633601 in Glenville, New York

Provider Information

NPI Number
1922633601
Entity Type
Individual
Name
Mary Short
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Mar 3, 2020
Last Updated
Mar 3, 2020

Practice Location

Address
407 RESERVE CT
ZIP Code
12302-3535
Phone
(518) 391-5811

Specialties & Taxonomy Codes

Specialty
Specialist

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