Individual provider · Type 1 NPI

Mary Elizabeth Macblane, PNP

Pediatric Registered Nurse · Syracuse, NY

NPI number 1184726341 Active

Practice location

750 E Adams St, Pediatrics
Syracuse, NY 13210-2306

Fax (315) 464-6398

Mailing address

5235 Bear Rd
North Syracuse, NY 13212-1213

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X325340-1 (NY)
Pediatric Nurse Practitioner 363LP0200XF380760-1 (NY)

Pediatric Registered Nurse: Definition to come...

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About NPI 1184726341

Mary Elizabeth Macblane, PNP's National Provider Identifier is 1184726341, issued on Sep 1, 2006. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Syracuse, NY. The record was last updated on Sep 11, 2025.