Individual
CHRISTINE WAYRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 DEER LN, JERICHO, NY 11753-2608
(516) 779-1819
Mailing address
7 DEER LN, JERICHO, NY 11753-2608
(516) 779-1819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38437
NY
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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