Individual
ANA WEGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 CHAPEL GATE LANE, GLEN HEAD, NY 11545
(516) 776-4197
(516) 621-1306
Mailing address
17 CHAPEL GATE, GLEN HEAD, NY 11545-2701
(516) 776-4197
(516) 621-1306
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
585619941
NY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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