MARY PROVENZANO

WEBSTER, NY
NPI1285911701
Former NameMARY HARISSIS-PROVENZANO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  008559)
Enumeration Date2011-11-11
Last Update Date2011-11-11
Business Address
Mrs. MARY PROVENZANO
119 SOUTH AVE
WEBSTER, NY 14580-3559
Phone number: 585-216-0000
Mailing Address
Mrs. MARY PROVENZANO
1867 STATE RD
WEBSTER, NY 14580-9303
Phone number: 585-872-4561
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