MRS. Teresa Wanamaker

NPI #1578939112 in Milton, New York

Provider Information

NPI Number: 1578939112
Entity Type: Individual
Name: MRS. Teresa Wanamaker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Aug 18, 2015
Last Updated: Aug 20, 2015

Practice Location

Address: 120 WILLOW TREE RD
City: Milton
State: New York
ZIP Code: 12547-5306
Phone: (845) 795-1226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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