Individual
MOLLY E. MENTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
25 DEGRANDPRE WAY, PLATTSBURGH, NY 12901-6449
(518) 563-3260
(518) 561-2877
Mailing address
17 WILDFLOWER LN, MORRISONVILLE, NY 12962-3016
(484) 565-8550
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
275860-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03949951
—
NY
01
—
23-2359401
MLHC TAX IDENTIFICATION
PA
Enumeration date
07/03/2007
Last updated
02/19/2016
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