Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Wellness of Northern New York

Organization Pediatrics Physician · NPI 1982389854

Pediatric Wellness of Northern New York is a Pediatrics Physician in Watertown, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1571 Washington St Ste 107
Watertown, NY 13601
Phone: (315) 782-7330
Fax: (315) 782-5773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1982389854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Myla Estepa — Owner · (315) 782-7330
NPI enumeratedJune 19, 2023
Last updated in NPPESMarch 14, 2024
Certification dateJune 19, 2023
Mailing address1571 Washington St, Suite 107, Watertown, NY 13601

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