Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary McKillop

Individual provider Specialist · NPI 1891243218

Mary McKillop is a Specialist in Ravena, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

14379 Rt 9W Circle Of Friends
Ravena, NY 12143-3103
Phone: (518) 756-3124
Fax: (518) 756-9476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 304575 (NY)

Record details

NPI number1891243218
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2016
Last updated in NPPESSeptember 14, 2016
Mailing address14379 Rt 9w, Circle Of Friends, Ravena, NY 12143-3103

Other providers in Ravena