Individual
MRS. MARY BARBARA ENSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 WEST 6TH STREET, OSWEGO, NY 13126-1312
(315) 349-5598
Mailing address
42 TWIN ORCHARD DRIVE, OSWEGO, NY 13126-1312
(315) 343-5064
(315) 343-5064
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004416-1
NY
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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