Individual
MR. HENRY J WENGENDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
30 HAGEN DR, SUITE # 310, ROCHESTER, NY 14625-2658
(585) 641-0400
(585) 641-0300
Mailing address
30 HAGEN DR, SUITE # 310, ROCHESTER, NY 14625-2658
(585) 641-0400
(585) 641-0300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004096
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109267BJ
PREFERRED CARE PRODUCTS
NY
Enumeration date
03/29/2006
Last updated
07/08/2007
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