NAOMI NICOLE WILDER

LATHAM, NY
NPI1982899027
Former NameNAOMI NICOLE SHENCAVITZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  012007)
Enumeration Date2007-09-12
Last Update Date2019-10-24
Business Address
NAOMI NICOLE WILDER PA-C
1205 TROY SCHENECTADY RD STE 101
LATHAM, NY 12110-1074
Phone number: 518-348-3176
Mailing Address
NAOMI NICOLE WILDER PA-C
1101 NOTT ST
SCHENECTADY, NY 12308-2425
Phone number: 518-243-4000