Maria Wild

NPI #1871397653 in Kenmore, New York

Provider Information

NPI Number: 1871397653
Entity Type: Individual
Name: Maria Wild
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 2, 2025
Last Updated: Apr 2, 2025

Practice Location

Address: 2495 ELMWOOD AVE
City: Kenmore
State: New York
ZIP Code: 14217-2222
Phone: (716) 882-2127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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