Individual
VICTORIA WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 MAIN ST, WARRENSBURG, NY 12885-1837
(518) 623-2844
(518) 623-3416
Mailing address
1 BROAD STREET PLZ, PO BOX 357, GLENS FALLS, NY 12801-4390
(518) 761-0300
(518) 745-1378
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00630039
—
NY
Enumeration date
08/01/2006
Last updated
07/31/2008
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