Individual
SUSAN WENZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANPC
Contact information
Practice address
4513 OLD VESTAL RD, VESTAL, NY 13850-3571
(607) 729-7001
Mailing address
4513 OLD VESTAL RD, VESTAL, NY 13850-3571
(607) 729-7001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3011161
NY
Other
Enumeration date
11/30/2005
Last updated
03/24/2008
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