Individual
MONIQUE WANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-8700
Mailing address
5 RANDALL TER, MIDDLETOWN, NY 10940-6517
(845) 800-8963
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
814371
NY
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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