Barbara Wild

NPI #1407119084 in Nesconset, New York

Provider Information

NPI Number
1407119084
Entity Type
Individual
Name
Barbara Wild
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Jun 19, 2012
Last Updated
Jun 19, 2012

Practice Location

Address
42 DELLMARIE LN
ZIP Code
11767-1508
Phone
(631) 265-8938

Specialties & Taxonomy Codes

Specialty
Specialist

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