Individual
MS. MARY CORDELIA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
946 OREGON TRL, PINE BUSH, NY 12566-5325
(917) 386-3286
Mailing address
946 OREGON TRL, PINE BUSH, NY 12566-5325
(917) 386-3286
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
NY
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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