| Doctor Name: | MYRA CUMMINGS MABRY |
| NPI Number: | 1306070719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O., |
| License Number: | 241003-1 |
| Business Practice Address: | 9 Sassafras Mew Lake Ariel, PA - 184363252 |
| Business Phone Number: | 5706892132 |
| Business Fax Number: | 8665925338 |
| Mailing Address: | 9 Sassafras Mew, LAKE ARIEL |
| State: | PA |
| Postal Code: | 184363252 |
| Phone Number: | 5706892132 |
| Fax Number: | 8665925338 |
| NPI Enumeration Date: | 05/13/2009 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 241003-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |