SearchNew York164W00000X

Tya Warner

NPI 1164837738 · on the registry since 2014 · sole proprietor

Practice

Address
211 W Park St
Canastota, NY 13032
Phone
(315) 761-7245

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York