Provider Demographics
NPI:1710290119
Name:MORRISSEY, MARY BREDA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:BREDA
Last Name:MORRISSEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:73 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-7616
Mailing Address - Country:US
Mailing Address - Phone:914-831-6830
Mailing Address - Fax:914-831-6831
Practice Address - Street 1:73 MARKET ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7616
Practice Address - Country:US
Practice Address - Phone:914-831-6830
Practice Address - Fax:914-831-6831
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2014-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY263790207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology