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Individual

MARY LOU HIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7715 4TH AVE, BROOKLYN, NY 11209-3439
(718) 833-2300
(718) 836-2305
Mailing address
7715 4TH AVE, BROOKLYN, NY 11209-3439
(718) 833-2300
(718) 836-2305

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
170076
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10772031
CO
01
170076
LICENSE
NY
Enumeration date
05/16/2006
Last updated
03/07/2023
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