Individual
CRISTI MORGAN WEDGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0170
(716) 323-0297
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0170
(716) 323-0297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03343895
—
NY
Enumeration date
03/02/2011
Last updated
08/18/2023
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