| Doctor Name: | MS. MARY ELLEN PAPANDREA |
| NPI Number: | 1184631616 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F3307681 |
| Business Practice Address: | 274 Delaware Ave Ste 2d Delmar, NY - 120541436 |
| Business Phone Number: | 5184412894 |
| Business Fax Number: | 5184392500 |
| Mailing Address: | 274 Delaware Ave, Ste 2d DELMAR |
| State: | NY |
| Postal Code: | 120541436 |
| Phone Number: | 5184412894 |
| Fax Number: | 5184392500 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 06/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F3307681 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |