Organization
PEDIATRIC WELLNESS OF NORTHERN NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLA D ESTEPA MD (OWNER)
(315) 782-7330
Entity
Organization
Contact information
Practice address
1571 WASHINGTON ST, SUITE 107, WATERTOWN, NY 13601
(315) 782-7330
(315) 782-5773
Mailing address
1571 WASHINGTON ST, SUITE 107, WATERTOWN, NY 13601
(315) 782-7330
(315) 782-5773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
03/14/2024
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