Mary Ann Butler, M.D.
Individual provider Active NPI Psychiatry Physician · Orangeburg, NY
NPI 1295896785 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295896785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 161182-1 (NY)
- Practice address
- 140 Old Orangeburg Rd
Orangeburg, NY 10962-1157 - Phone
- (845) 359-1000
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161182-1 | NY | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 161182-1 | NY | Yes |
Addresses
Primary practice location
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Mailing address
6 Ridge Rd
Norwood, NJ 07648-2416
Phone (201) 767-0130
Other providers in Orangeburg, NY
- Jeanne-Marie Browne
- Dorothy Brunache
- Eileen Elizabeth Buckley
- Khatija Nazir Bukhari
- Katelin Jean Burns
- BV Lake Tappan Operator LLC
- Angela Cabble
- Elizabeth Cabrera
- Hugh R Calder
- Katherine Calleo
All providers in Orangeburg, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.