Individual
MRS. MARY M WYBORSKI-WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
195-199 W DOMININCK ST, ROME, NY 13440
(315) 272-2730
(315) 337-0675
Mailing address
293 GENESEE ST, UTICA, NY 13501-3804
(315) 272-2600
(315) 337-0675
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
552736-1
NY
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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