Organization
GANRORMIC
Active
Other names
Wee Can Preschool
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE ANN WETTLAUFER NURSE PRACTITIONER (EXECUTIVE DIRECTOR)
(716) 667-2294
Entity
Organization
Contact information
Practice address
40 CENTRE DR, ORCHARD PARK, NY 14127-4100
(716) 667-2294
(716) 667-2272
Mailing address
26 PAWTUCKET ROW, ORCHARD PARK, NY 14127-3920
(716) 662-7456
(716) 667-2272
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
353200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21122
NYS DEPARTMENT OF HEALTH
NY
Enumeration date
08/29/2009
Last updated
08/29/2009
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