Individual
MRS. YAEL WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPED
Contact information
Practice address
41 COLEBROOK DR, ROCHESTER, NY 14617-2211
(585) 467-4567
Mailing address
41 COLEBROOK DR, ROCHESTER, NY 14617-2211
(585) 467-4567
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2323655
NY
Other
Enumeration date
09/11/2012
Last updated
12/06/2012
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