Individual
ANDREA WENDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7586
Mailing address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004757
NY
Other
Enumeration date
08/08/2006
Last updated
02/17/2013
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