Individual
JANET A WANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 E 215TH ST, BRONX, NY 10469-2401
(212) 300-7954
Mailing address
1105 E 215TH ST, BRONX, NY 10469-2401
(212) 300-7954
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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