Maryann Carol Wachtel

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

2604838 Issued in NY

Practice address

10 Empire State Blvd
Castleton, NY 12033-9751

Phone

(518) 477-8771

NPI assigned

Dec 4, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322956800000",
    "number": "1275801300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BAXTER RD",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120182401",
            "telephone_number": "518-674-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EMPIRE STATE BLVD",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339751",
            "telephone_number": "518-477-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTEL",
        "first_name": "MARYANN",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-04",
        "last_updated": "2011-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "2604838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Thomson, M.D.
• Jaime Tice, MS CCC SLP
• Rommel Tolentino
• Aezat Ullah
• Upstate Dermatology, PC
• Walgreen Co
• Krista Lynn Warfield, M.D.
• Matthew Roger Weaver, LMT
• Phillip S Weisburgh, RPH
• Christine Goodrich Wichmann, PT

• Local Education Agency (LEA) in Castleton, NY
• Providers in Castleton, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.