Individual
KIMBERLY WADAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 ROOSEVELT DR, WHITESBORO, NY 13492-1550
(315) 736-3217
Mailing address
408 MAIN ST, NEW YORK MILLS, NY 13417-1239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008569
NY
Other
Enumeration date
06/06/2017
Last updated
01/16/2019
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