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Mary F Condon

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

95 Grasslands Rd, 5 North, Valhalla, NC 10595

PECOS Enrollment

This provider is enrolled in PECOS as MARY CONDON.

Based on the most recent information from CMS, provider Mary F Condon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 1:00 PM.

Profile Details

Provider ID
1851590434
Provider Type
Individual
Full Name
Condon, Mary F
Title
Mrs.
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/13/2007
Last Updated
7/13/2007

Contact Information

Practice Location

95 Grasslands Rd, 5 North, Valhalla, NC 10595

(914) 493-5005

(914) 493-7602

Mailing Location

184 Agor Ln, Mahopac, NY 10541-1331

(914) 493-5005

(914) 493-7602

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 331348 New York

Mary F Condon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bellizzi, Donna

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Mclernon, Aine Maire

Zachariah, Maxine

Haley, Jenna-Rose

Kimble, Kelsey Ruth

Boland, Karlene Natasha

Nkrumah, Sandra

Alleva, Jacqueline