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Individual

WENDY GELLMAN

Active
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Individual

WENDY GELLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200804
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010307103
UNIVERA
NY
01
000524991004
BC/BS
NY
05
01772045
NY
01
040426002408
FIDELIS
NY
01
1209762
IHA
NY
01
146559DL
PREFERRED CARE
NY
Enumeration date
01/04/2006
Last updated
07/20/2014
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