MS. MARY GRACE OBRIEN (NPI# 1780910349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780910349 |
| Entity Type | Individual |
| Full Name | MS. MARY GRACE OBRIEN |
| Credential | N.P. |
| Practice Address |
3651 Hill Blvd Jefferson Valley NY 10535-1501 |
| Practice Telephone | 9143842075 |
| Practice Fax Number | 9142435895 |
| Mailing Telephone | 9143842075 |
| Mailing Fax Number | 9142435895 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400751 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525647 | Mary C Obrien | Speech-Language Pathologist | 2834 W Henderson St, Chicago, IL 60618-5815 | 2019-12-10 |
| 1558541276 | Mary B Obrien | Social Worker | 350 Lee Road, Northbrook, IL 60062 | 2007-11-09 |
| 1699860296 | Mary Christine Obrien | Family Medicine | Greeley Cboc, 2020 16th St,suite1, Greeley, CO 80634 | 2006-10-03 |
| 1417474479 | Mary Obrien | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-08-29 |
| 1306117023 | Mary H Obrien | Audiologist | 601 W Maple Ave, Suite 213, Springdale, AR 72764-5335 | 2012-01-26 |
| 1699969295 | Mary Patricia Obrien | Physician Assistant | 6199 Transit Rd, Depew, NY 14043-1024 | 2007-08-28 |
| 1114079118 | Mary Elizabeth Obrien | Internal Medicine | 519 W 114th St, Columbia Health Service Mc3601, New York, NY 10027-7036 | 2007-01-18 |
| 1740352186 | Mary Theresa Obrien | Occupational Therapist | 850 Boylston St, Chestnut Hill, MA 02467-2477 | 2006-11-14 |
| 1013992163 | Mary Claire Obrien | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-13 |
| 1982692711 | Mary K Obrien | Nurse Anesthetist, Certified Registered | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-06 |
| Street Address |
3651 HILL BLVD |
| City | JEFFERSON VALLEY |
| State | NY |
| Zip Code | 10535-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124107743 | Pilar M Verdesoto | Social Worker | 3651 Hill Blvd, Jefferson Valley, NY 10535 | 2006-11-03 |
| 1063631307 | Sylvain Nakkab | Psychiatry & Neurology | 3651 Hill Blvd, Jefferson Valley, NY 10535-1501 | 2007-04-25 |
| 1831318179 | Myrna Hernandez | Psychiatry & Neurology | 3651 Hill Blvd, Jefferson Valley, NY 10535-1501 | 2007-04-25 |
| 1366576381 | Joan P. Fox-bow | Social Worker | 3651 Hill Blvd, Jefferson Valley, NY 10535-1501 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904589 | John Joseph Duff | Social Worker | 3630 Hill Blvd., Jefferson Valley, NY 10535 | 2016-11-08 |
| 1518419639 | Zoila Morell-okeefe | Registered Nurse | 3795 Nelson Avenue, #668, Jefferson Valley, NY 10535 | 2016-10-25 |
| 1790060424 | Jose Rafael Lugay | Dentist | 3654 Lee Blvd., Jefferson Valley, NY 10535 | 2011-10-13 |
| 1730462672 | Masooma Saba Zaidi | Dentist | 3654 Lee Blvd, Jefferson Valley, NY 10535 | 2011-09-27 |
| 1619291804 | Stacey Leigh Engelberg | Pharmacist | 3663 Hill Blvd, Jefferson Valley Pharmacy, Jefferson Valley, NY 10535 | 2010-03-17 |
| 1548402142 | Jefferson Valley Dental Associates, P.C. | Dentist | 3654 Lee Rd, Jefferson Valley, NY 10535 | 2009-03-27 |
| 1841318847 | Aleia Journez Codner | Speech-Language Pathologist | 3663 Lee Blvd, Jefferson Valley, NY 10535 | 2007-03-27 |
| 1033285879 | Frederick William Cich | Chiropractor | 691 East Main Street, Jefferson Valley, NY 10535 | 2006-11-24 |
| 1477653376 | Mark Robert Honig | Psychologist | 3630 Hill Boulevard, Suite 204, Jefferson Valley, NY 10535 | 2006-09-22 |
| 1538153200 | Jefferson Valley Pharmacy Inc | Pharmacy | 3693 Hill Blvd, Jefferson Valley, NY 10535 | 2005-09-08 |
| Find all providers in zip 10535 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON VALLEY |
| Zip Code | 10535 |
Please comment or provide details below to improve the information on MS. MARY GRACE OBRIEN.
| 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.