Individual
MS. MARYANN CAROL WACHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 EMPIRE STATE BLVD, CASTLETON, NY 12033-9751
(518) 477-8771
Mailing address
14 BAXTER RD, AVERILL PARK, NY 12018-2401
(518) 674-5325
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
2604838
NY
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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