| NPI | 1740549971 |
|---|---|
| Former Legal Business Name | WILDER'S WOMEN'S HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JOYCE M WILDER Owner 315-408-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 000546) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420516) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2016-07-26 |