Individual
EMILY WACHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
711 TROY SCHENECTADY RD STE 205, LATHAM, NY 12110-2461
(518) 783-7070
(518) 783-3159
Mailing address
711 TROY SCHENECTADY RD STE 205, LATHAM, NY 12110-2461
(518) 783-7070
(518) 783-3159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022374
NY
Other
Enumeration date
08/01/2018
Last updated
08/11/2021
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