MARYBETH E OWEN


Address: 12 Brooklyn Street, Arrow, NY 14001
Phone: 7165424246

MARYBETH E OWEN (NPI# 1669022729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669022729
Entity Type Individual
Full Name MARYBETH E OWEN
Practice Address 12 Brooklyn Street
Arrow
NY 14001
Practice Telephone 7165424246
Mailing Telephone 7165424246
Enumeration Date 2019-09-19
Last Update Date 2019-09-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 12 BROOKLYN STREET
City ARROW
State NY
Zip Code 14001

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1235449950 David Emmanuel Nicosia Registered Nurse 42 John Street, Akron, NY 14001 2010-10-15
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1528038239 Matthew A Williams Physical Therapist 56 Main St, Step By Step Physical Therapy, Akron, NY 14001 2006-01-25
1972090330 Kelly Dara Licensed Practical Nurse 43 Marshall Ave, Akron, NY 14001-1026 2018-04-20
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649885666 Carole Jane Pelaia Technician 100 Forrestal Hts, Beacon, NY 12508-3733 2020-09-15
1194340950 Barbara Dore Russell Technician 43 Hillsboro Dr, Orchard Park, NY 14127-3433 2020-06-08
1316560105 Baw Su Technician 341 Oliver St, N Tonawanda, NY 14120-7227 2020-05-27
1255953782 Tina Marie Loucks Technician 6294 Fulford Hill Rd, Bath, NY 14810-8156 2020-05-06
1508487240 Jacqueline Marshall Technician 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 2020-05-05
1891324240 Crystal Lynn Booth Technician 5510 Fortuna Pkwy, Clay, NY 13041-8929 2020-04-07
1366076788 Patricia Metznik Garcia Technician 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 2020-02-25
1578196549 Ernesto Murray Technician 463 East 178st Apt#3b, Bronx New York, NY 10457 2020-02-19
1588204317 Jeanie L Phillips Technician 1837 Us Highway 11 Lot 34, Marathon, NY 13803-2360 2020-01-09
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Competitor

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City ARROW
Zip Code 14001

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Dataset Information

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.

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