Most Relevant Information
Provider Data
| NPI Number: | 1003264268 |
| Provider Name: | MARY H TYREE MS ED |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/28/2016 |
| Last Updated: | 05/28/2016 |
Provider Practice Location
53 KETTLES WAY
QUEENSBURY
NY
128046412
Practice Location Phone/Fax
| Phone: | 5187920005 |
| Fax: |
Provider Mailing Location
53 KETTLES WAY
QUEENSBURY
NY
128046412
Provider Mailing Phone/Fax
| Phone: | 5187920005 |
| Fax: |