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JENNIFER WANDASIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
850 FULTON ST STE 4, FARMINGDALE, NY 11735-3601
(516) 454-8525
(516) 454-8130
Mailing address
850 FULTON ST STE 4, FARMINGDALE, NY 11735-3601
(516) 454-8525
(516) 454-8130

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382643
NY

Other

Enumeration date
06/27/2016
Last updated
04/29/2022
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