Organization
CLINTWOOD HEALTH AND WELLNESS
Active
Other names
CLINTWOOD HEALTHY U
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LANDRY (PRESIDENT)
(607) 797-7770
Entity
Organization
Contact information
Practice address
4700 VESTAL PKWY E, VESTAL, NY 13850-3770
(607) 797-7770
Mailing address
4700 VESTAL PKWY E, VESTAL, NY 13850-3770
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3358315
OTHER ID NUMBER
—
Enumeration date
07/09/2008
Last updated
07/09/2008
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