Individual
MRS. AMY EDWARDS WENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
4424 DOLOMITE DRIVE, SYRACUSE, NY 13215
(315) 487-0325
Mailing address
4424 DOLOMITE DR, SYRACUSE, NY 13215-1582
(315) 487-0325
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
57001735
NY
Other
Enumeration date
08/23/2008
Last updated
08/27/2013
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