Individual provider · Type 1 NPI
Mary Barbara Ensman, PA
Surgical Physician Assistant · Oswego, NY
NPI number
1619091436
Active
Practice location
110 West 6th Street
Oswego, NY 13126-1312
Mailing address
42 Twin Orchard Drive
Oswego, NY 13126-1312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 004416-1 (NY) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Oswego
About NPI 1619091436
Mary Barbara Ensman, PA's National Provider Identifier is 1619091436, issued on Mar 19, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oswego, NY. The record was last updated on Jul 8, 2007.