Susan Mary Wielgosz ATC

NPI 1720018385 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1720018385
Gender Female
Enumeration Date 07/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
350 NEW CAMPUS DR
SUNY COLLEGE AT BROCKPORT
BROCKPORT NY, 14420-2997, US
Phone (585) 395-5358
Fax
Business Location
10 TEAROSE MEADOW LN
BROCKPORT NY, 14420-9336, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State New York
License Number 000027-1
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According to our database, Susan Mary Wielgosz ATC NPI is 1720018385, taxonomy code is 2255A2300X and license number is 000027-1, license state is located at New York. Susan Mary Wielgosz ATC physically located at 350 New Campus Dr, Brockport NY, 14420-2997. NPI Number Susan Mary Wielgosz ATC has the Individual type.

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1720018385 NPI number is provided on an as is basis without warranty of any kind. 1720018385 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Mary Wielgosz ATC are for informational purposes only.