Individual
MARY K HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 JAMES ST, STE 108, SYRACUSE, NY 13203-2087
(215) 476-9275
(315) 472-0197
Mailing address
716 JAMES ST, STE 108, SYRACUSE, NY 13203-2087
(215) 476-9275
(315) 472-0197
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295723534
GROUP PRACTICE NPI
NY
Enumeration date
09/20/2006
Last updated
01/10/2008
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