Individual
WENDY E ZITZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
(716) 875-6717
Mailing address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
(716) 875-6717
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
000828
NY
363LW0102X
Women's Health Nurse Practitioner
420347
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026089401
UNIVERA
NY
01
—
00026089402
UNIVERA
NY
01
—
000560733001
BC/BS
NY
01
—
000560733002
BC/BS
NY
01
—
000560733003
BCBS
NY
05
—
01961733
—
NY
01
—
040827000004
FIDELIS
NY
01
—
070517000063
FIDELIS
NY
01
—
150542-CQ
PREFERRED CARE
NY
01
—
1899820
GHI PPO
NY
01
—
9511816
INDEPENDENT HEALTH
NY
Enumeration date
10/11/2006
Last updated
05/18/2015
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