Mary B Connolly

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

3548401 Issued in NY

Practice address

658 Watson Rd
Fairport, NY 14450-8503

Phone

(585) 737-3809

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1669740064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 WATSON RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508503",
            "telephone_number": "585-737-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 WATSON RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508503",
            "telephone_number": "585-737-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "MARY",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "3548401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Medicine, PLLC
• Ruth Confino
• Sheri Conlon, RPH
• Emily Connell, PT, DPT
• Kristine Ann Connelly, LPN
• Alyssa Conolly
• Teresa Margaret Conway, LMSW
• Michelle Elaine Cook, RN
• Krista Elizabeth Cooley, PT, DPT
• Scott David Coon, DC

• School Registered Nurse in Fairport, NY
• Providers in Fairport, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.