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Individual

DAVID EARL WELLENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
185 GENESEE ST, SUITE 600, UTICA, NY 13501-2199
(315) 793-8806
(315) 793-8046
Mailing address
185 GENESEE ST, SUITE 600, UTICA, NY 13501-2199
(315) 793-8806
(315) 793-8046

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
132617
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00751524
NY
01
040426013871
FIDELIS
NY
01
10043865
CDPHP
NY
01
225159
MVP
NY
01
300029077
RAIL ROAD MEDICARE
NY
01
4102251
GHI
NY
01
P010149411
BC/BS
NY
Enumeration date
08/03/2006
Last updated
02/23/2012
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