SHASTA TREADWAY

WALTON, NY
NPI1245953959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  404416)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
SHASTA TREADWAY PMHNP
2 TITUS PL
WALTON, NY 13856-1455
Phone number: 607-865-2400
Mailing Address
SHASTA TREADWAY PMHNP
1 TITUS PL
WALTON, NY 13856-1457
Phone number:
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