Individual
MS. WENDY MARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 NEW YORK AVE, BROOKLYN, NY 11216-4067
(718) 493-6964
Mailing address
10835 FERN PL, JAMAICA, NY 11433-2623
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420959-1
NY
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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