Pediatric Wellness of Northern New York

NPI #1982389854 in Watertown, New York

Provider Information

NPI Number: 1982389854
Entity Type: Organization
Organization Name: Pediatric Wellness of Northern New York
Primary Specialty: Pediatrics
Enumeration Date: Jun 19, 2023
Last Updated: Mar 14, 2024

Practice Location

Address: 1571 WASHINGTON ST
Address 2: SUITE 107
City: Watertown
State: New York
ZIP Code: 13601
Phone: (315) 782-7330

Authorized Official

Name: MYLA D ESTEPA, MD
Title: OWNER
Phone: (315) 782-7330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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