Provider Demographics
NPI:1396147815
Name:HECOX, MARY (RN SNT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:HECOX
Suffix:
Gender:F
Credentials:RN SNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OGDEN ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13901-2127
Mailing Address - Country:US
Mailing Address - Phone:607-762-8289
Mailing Address - Fax:607-762-8395
Practice Address - Street 1:9 OGDEN ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13901-2127
Practice Address - Country:US
Practice Address - Phone:607-762-8289
Practice Address - Fax:607-762-8395
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY434987-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool