Provider Demographics
NPI:1134267172
Name:PRASKEY, MARY P (NP)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:P
Last Name:PRASKEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:700 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SOLVAY
Mailing Address - State:NY
Mailing Address - Zip Code:13209-1450
Mailing Address - Country:US
Mailing Address - Phone:315-487-6426
Mailing Address - Fax:315-492-5117
Practice Address - Street 1:4900 BROAD RD
Practice Address - Street 2:COMMUNITY GENERAL HOSPITAL
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215
Practice Address - Country:US
Practice Address - Phone:315-492-5624
Practice Address - Fax:315-492-5117
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF331031363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health