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Individual

HEATHER LYNN WASIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
725 IRVING AVE, SUITE 805, SYRACUSE, NY 13210
(315) 464-6340
(315) 464-6329
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
298531
NY

Other

Enumeration date
03/20/2013
Last updated
06/20/2019
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