Individual
DAVID EARL WELLENSTEIN
Active
Individual
DAVID EARL WELLENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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