Individual
MS. MARY BROOKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
207 FOOTE AVENUE, JAMESTOWN, NY 14702
(716) 487-0141
Mailing address
215 ELMWOOD AVENUE, PO BOX 2169, ELMIRA HEIGHTS, NY 14903
(607) 733-3639
(607) 733-1292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
284806
NY
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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