Individual
MS. MARY ELLEN ELLEN PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
614 COOPER HILL RD, WYNANTSKILL, NY 12198-2906
(518) 283-6500
(518) 283-0524
Mailing address
614 COOPER HILL RD, WYNANTSKILL, NY 12198-2906
(518) 283-6500
(518) 283-0524
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
532421
NY
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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