Individual
MARY ANDERSON BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 2ND ST, LIVERPOOL, NY 13088-4937
(315) 447-9510
Mailing address
615 2ND ST, LIVERPOOL, NY 13088-4937
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
999-9901
NY
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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