MRS. Krista Waldhauer, BS

NPI #1932481744 in Northport, New York

Provider Information

NPI Number: 1932481744
Entity Type: Individual
Name: MRS. Krista Waldhauer, BS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: BS
Enumeration Date: Sep 16, 2011
Last Updated: Sep 16, 2011

Practice Location

Address: 32 HILLSIDE PL
City: Northport
State: New York
ZIP Code: 11768-1911
Phone: (631) 239-5252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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