Organization
ORCHARD PARK EARLY INTERVENTION RN SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE ANN WETTLAUFER RN MSN (EXECUTIVE DIRECTOR)
(716) 667-2294
Entity
Organization
Contact information
Practice address
40 CENTRE DR, SUITE A, ORCHARD PARK, NY 14127-4100
(716) 667-2294
(716) 667-2272
Mailing address
40 CENTRE DR, SUITE A, ORCHARD PARK, NY 14127-4100
(716) 667-2294
(716) 667-2272
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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