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Contact Information

MARY E OLSEN LANZAFAME, PhD
121 SULLYS TRL
SUITE 5
PITTSFORD, NY14534
 Phone: 585-732-5310
 Fax: 585-495-2146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY E OLSEN LANZAFAME · (Female)

NPI Number 1134281777
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/13/2006
Last updated 05/28/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 012566
  • NM Other 7799323 AETNA PROVIDER ID
  • NY Other P040012566 BCBS PROVIDER ID
  • NY Other P010012566 BLUE CHOICE PROVIDER ID
  • NY Other MDF487 PREFERRED CARE PROV ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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