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Mary Blount

NPI 1083064612 · on the registry since 2016

Practice

Address
3600 Route 112
Coram, NY 11727
Phone
(631) 920-8500
Fax
(631) 920-8501
Organisation at this address
Pederson Krag
Welllife Network Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
153

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York