Individual
WENDY SUE COLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-2630
Mailing address
3810 RT 69, MEXICO, NY 13114
(315) 402-5625
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
504750
NY
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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