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Organization

FINGER LAKES WIC PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIIA WALTON (VP OF WIC / VMA)
(585) 394-9240
Entity
Organization

Contact information

Practice address
79 S MAIN ST, CANANDAIGUA, NY 14424-1906
(585) 394-9240
(585) 394-9285
Mailing address
79 S MAIN ST, CANANDAIGUA, NY 14424-1906
(585) 394-9240
(585) 394-9285

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/03/2013
Last updated
07/03/2013
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