Individual
MISS EBONY SHANAY WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 CANTON ST, BALDWINSVILLE, NY 13027-2317
(917) 376-2170
Mailing address
14 CANTON ST, BALDWINSVILLE, NY 13027-2317
(917) 376-2170
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
246Z00000X
Other Specialist/Technologist
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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