Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Kathryn Hauck, PA-C

Individual provider Physician Assistant · NPI 1497265797

Mrs. Mary Kathryn Hauck, PA-C is a Physician Assistant in Syracuse, New York. Qualified in 2017, 9 years ago. Practices with Aesthetic Plastic Surgery of Syracuse PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

739 Irving Ave Ste 200-300
Syracuse, NY 13210-1651
Phone: (315) 479-5070
Fax: (315) 701-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021462 (NY)

Record details

NPI number1497265797
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2017
Last updated in NPPESSeptember 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Aesthetic Plastic Surgery Of Syracuse Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Syracuse