Laurie Wade's National Provider Identifier (NPI) Details
Laurie Wade,
NPI: 1194381657
Enumeration Date: 2019-05-10
Last updated: 2019-05-10
Sole Proprietor: YES
Status: active
Postal Address: 11 HASWELL RD, WATERVLIET, NY
Phone: 518-273-4911
Primary Practice Address: 11 HASWELL RD, WATERVLIET, NY
Practice's phone: 518-273-4911