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Carly Wachtel

NPI Registration Record

Provider / OrganizationNPIDate Certified
CARLY WACHTEL12852800652020-06-28
Entity TypeIndividual
Provider Name Carly Wachtel PA-C
Practice Office Address28650 STATE HIGHWAY 23
STAMFORD, NY US
Practice Office Telephone6076522537
Mailing Address28650 STATE HIGHWAY 23
STAMFORD, NY 121671712 US
Business Telephone6076522537
HPT Codes
CodeLicense NoState
363AM0700X PRIMARY
OPI Codes

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