Individual
MARY J CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 IRVING AVE STE 204, SYRACUSE, NY 13210-1529
(315) 634-4112
(315) 634-4117
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
185656
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274419
—
NY
Enumeration date
09/16/2006
Last updated
01/13/2020
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