Individual
MRS. MARY SCIARRINO NICOLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 ERIE BLVD EAST, DEWITT, NY 13214
(315) 446-7442
(315) 446-7449
Mailing address
3150 ERIE BLVD EAST, DEWITT, NY 13214
(315) 446-7442
(315) 446-7449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
373791
NY
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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