Individual
MARY SUSAN NOBILSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 776-6577
Mailing address
5 GANSEVOORT ST., P.O. BOX 366, BATH, NY 14810
(607) 776-6577
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
178114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00178114
—
NY
Enumeration date
10/31/2006
Last updated
07/31/2015
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