Individual
DR. KAREN RITA WANAMAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2082 FIVE MILE LINE RD, PENFIELD, NY 14526-1450
(585) 249-0760
(585) 249-0761
Mailing address
107 DAYTONA AVE, WEBSTER, NY 14580-2203
(585) 670-9405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101871AN
PREFERED CARE
—
01
—
P01006526
EXCELLUS BSBC
—
Enumeration date
09/06/2005
Last updated
07/08/2007
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