Individual
MS. CAROLYN ELISABETH WURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
159 W 127TH ST, NEW YORK, NY 10027-3723
(212) 752-7575
Mailing address
2259 27TH ST APT 3A, ASTORIA, NY 11105-3138
(929) 369-7563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3929313
NY
Other
Enumeration date
08/13/2020
Last updated
11/27/2023
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