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Individual

WENDY E ZITZKA

Active
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Individual

WENDY E ZITZKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

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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