Individual
MR. WILFRED JOSEPH RECORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BIS I
Contact information
Practice address
31 6TH ST, MALONE, NY 12953-1246
(518) 483-3261
Mailing address
PO BOX 608, MALONE, NY 12953-0608
(518) 483-1251
(518) 497-9914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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