Individual
DR. MARY EDITH OBEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
860 MAIN RD, CORFU, NY 14036-9753
(585) 599-6446
(585) 599-3166
Mailing address
860 MAIN RD, CORFU, NY 14036-9753
(585) 599-6446
(585) 599-3166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205518
NY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
205518
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01909273
—
NY
Enumeration date
04/24/2006
Last updated
03/04/2013
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