Organization
PEDIATRIC WELLNESS OF NORTHERN NEW YORK
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up