Individual
MRS. TERRY LYNN WIART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
429 AVIATION RD, QUEENSBURY, NY 12804-2914
(518) 824-5699
Mailing address
41 FOX HOLLOW LN, QUEENSBURY, NY 12804-1144
(518) 745-7670
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
461328-1
NY
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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