MARY B CONNOLLY (NPI# 1669740064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669740064 |
| Entity Type | Individual |
| Full Name | MARY B CONNOLLY |
| Practice Address |
658 Watson Rd Fairport NY 14450-8503 |
| Practice Telephone | 5857373809 |
| Mailing Telephone | 5857373809 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
3548401 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477044238 | Mary Lee Connolly | Home Health Aide | 724 Sawyer St, South Portland, ME 04106-4619 | 2018-05-28 |
| 1275970113 | Mary Wilson Connolly | Specialist/Technologist | 5975 S Blackburn Rd, Athens, OH 45701-3847 | 2013-06-02 |
| 1598094542 | Mary Michael Connolly | Registered Nurse | 10 Westchester Cir, Dedham, MA 02026-5248 | 2009-12-21 |
| 1417283615 | Mary Connolly | Behavioral Analyst | 92 Evergreen St, Staten Island, NY 10308-1812 | 2009-10-22 |
| 1558535559 | Mary J Connolly | Family Medicine | 100 Foden Road, East, Suite 203, South Portland, ME 04106-2327 | 2008-04-22 |
| 1588852057 | Mary Ann Connolly | Physical Therapist | 413 King George Rd, Suite 205, Basking Ridge, NJ 07920-2817 | 2007-10-10 |
| 1306937156 | Mary Connolly | Physician Assistant | 15 Berwick St, West Roxbury, MA 02132-4217 | 2006-09-27 |
| 1316046865 | Mary Frances Connolly | Psychologist | 278 North High St., Suite 1, Romney, WV 26757 | 2006-09-21 |
| 1124674361 | Mary C Connolly | Speech-Language Pathologist | 3391 Richmond Ave, Staten Island, NY 10312-2025 | 2019-08-14 |
| 1932581840 | Mary Connolly | Pharmacist | 5110 Yelm Hwy Se, Lacey, WA 98503-5060 | 2015-06-26 |
| Street Address |
658 WATSON RD |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043586407 | Deborah S Dutko | Registered Nurse | 140 Hulburt Rd, Fairport, NY 14450-2458 | 2012-03-29 |
| 1104195429 | Gail Elaine Burkland | Registered Nurse | 28 Chase View Rd, Fairport, NY 14450-9700 | 2011-12-14 |
| 1598253619 | Haydee Espada | Registered Nurse | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2018-04-24 |
| 1073982930 | Danielle Elizabeth Andolina | Registered Nurse | 41 O'connor Road, Fairport, NY 14450-2507 | 2015-09-22 |
| 1659717866 | Katharine Hiltunen | Registered Nurse | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2013-05-14 |
| 1194078188 | Nancy C Adams | Registered Nurse | 1 Dave Paddock Way, Fairport, NY 14450 | 2012-10-16 |
| 1033489406 | Linda Sue Servetnick | Registered Nurse | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2012-01-03 |
| 1659641066 | Sandra Mongeon | Registered Nurse | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2012-01-03 |
| 1487923827 | Kathleen Spaulding | Registered Nurse | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2011-12-14 |
| 1013286467 | Tracy Pruner | Registered Nurse | 41 Oconnor Rd, Fairport, NY 14450-1327 | 2011-12-14 |
| Find all providers in FAIRPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.