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Search › New York › 363LF0000X

Katey Waldon, NP

NPI 1487017901 · on the registry since 2016 · sole proprietor

Practice

Address
4110 Medical Center Dr
Fayetteville, NY 13066
Phone
(315) 663-0100
Organisation at this address
Dr. Fazeli & Dr. Broumand Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-15

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