Provider Demographics
NPI:1225358674
Name:CONTANT, MARY R (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:R
Last Name:CONTANT
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CHURCH ST
Mailing Address - Street 2:P.O. BOX 66
Mailing Address - City:ELBA
Mailing Address - State:NY
Mailing Address - Zip Code:14058-9765
Mailing Address - Country:US
Mailing Address - Phone:585-757-9927
Mailing Address - Fax:
Practice Address - Street 1:13 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ELBA
Practice Address - State:NY
Practice Address - Zip Code:14058-9765
Practice Address - Country:US
Practice Address - Phone:585-757-9927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244189-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse