Most Relevant Information
Provider Data
| NPI Number: | 1003580572 |
| Provider Name: | MARY ANN MCCARTHY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 074763 |
Most Important Dates
| Enumeration Date: | 08/06/2021 |
| Last Updated: | 08/06/2021 |
Provider Practice Location
100 NEW BROADWAY APT 317
RENSSELAER
NY
121442157
Practice Location Phone/Fax
| Phone: | 5182075598 |
| Fax: |
Provider Mailing Location
100 NEW BROADWAY APT 317
RENSSELAER
NY
121442157
Provider Mailing Phone/Fax
| Phone: | 5182075598 |
| Fax: |