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Organization
ORCHARD PARK EARLY INTERVENTION RN SERVICES, PLLC
Active
Organization
ORCHARD PARK EARLY INTERVENTION RN SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE ANN WETTLAUFER RN MSN (EXECUTIVE DIRECTOR)
(716) 667-2294
Entity
Organization
Contact information
Practice address
40 CENTRE DR, SUITE A, ORCHARD PARK, NY 14127-4100
(716) 667-2294
(716) 667-2272
Mailing address
40 CENTRE DR, SUITE A, ORCHARD PARK, NY 14127-4100
(716) 667-2294
(716) 667-2272
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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