Individual
MARY DAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-4983
Mailing address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-4983
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301071
NY
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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