Provider Demographics
NPI:1497156632
Name:HURLEY, MARY L (MS SPECIAL EDUCATI)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:L
Last Name:HURLEY
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-1607
Mailing Address - Country:US
Mailing Address - Phone:716-566-0263
Mailing Address - Fax:
Practice Address - Street 1:93 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-1607
Practice Address - Country:US
Practice Address - Phone:716-566-0263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299704174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist