NPI
Mary Botsford
NPI 1558352260
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- N.P.
- Type
- Individual
- Enumeration date
- 2005-11-02
- Last updated
- 2010-01-08
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Specialties
Licenses
- License NY
- F300701
Location
- Practice location
- 792 N Main St, Suite 200a
- City
- North Syracuse NY
- Postal code
- 13212-1644
- Phone
- (315) 458-8700
- Fax
- (315) 701-1075
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Adult Health Nurse Practitioners in North Syracuse, NY. 5 with this primary taxonomy in the public file.
Other NPIs in North Syracuse, NY. 407 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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