Individual
MARY BAPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3946 ONEIDA ST, NEW HARTFORD, NY 13413-9702
(315) 624-8300
(315) 624-8310
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 315, UTICA, NY 13501
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
325199
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2020
Last updated
09/19/2023
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