Individual
DR. JUANITA M WELNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5062 SKYLINE DR, SYRACUSE, NY 13215-2444
(315) 469-9210
Mailing address
5062 SKYLINE DR, SYRACUSE, NY 13215-2444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
166580
NY
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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