Individual
AMY WENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1231 DEER PARK AVE, NORTH BABYLON, NY 11703-3104
(631) 667-0388
(631) 968-7705
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(443) 858-0765
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R250132
MD
363LA2200X
Adult Health Nurse Practitioner
F309228-01
NY
Other
Enumeration date
07/02/2019
Last updated
01/14/2025
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