Individual
DR. IRMA M WALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
62 PILL HL, HILLSDALE, NY 12529-6222
(518) 325-4451
Mailing address
62 PILL HL, HILLSDALE, NY 12529-6222
(518) 325-4451
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
070669
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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