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Individual

MACY VANARNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 785-4155
(315) 779-5066
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 785-4155
(315) 779-5066

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
310949
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06835203
NY
Enumeration date
05/10/2017
Last updated
04/29/2024
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