| Finger Lakes Wic Program | |
|
79 S Main St Canandaigua NY 14424-1906 | |
| (585) 394-9240 | |
| (585) 394-9285 |
| Full Name | Finger Lakes Wic Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 79 S Main St, Canandaigua, New York |
| Authorized Official Name and Position | Cynthiia Walton (VP OF WIC / VMA) |
| Authorized Official Contact | 5853949240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Finger Lakes Wic Program 79 S Main St Canandaigua NY 14424-1906 Ph: (585) 394-9240 | Finger Lakes Wic Program 79 S Main St Canandaigua NY 14424-1906 Ph: (585) 394-9240 |
| NPI Number | 1235579319 |
|---|---|
| Provider Enumeration Date | 07/03/2013 |
| Last Update Date | 07/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235579319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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