Individual
MRS. TARA LYNN WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HSC LEVEL 4 ROOM 080 - DEPT OF EMERGENCY MEDICINE, STONY BROOK UNIV. MEDICAL CENTER, STONY BROOK, NY 11754-8350
(631) 444-2478
Mailing address
HSC LEVEL 4 ROOM 080 DEPT OF EMERGENCY, STONY BROOK UNIVERSITY MEDICAL CENTER, STONY BROOK, NY 11794-8350
(631) 444-2478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
256922
NY
Other
Enumeration date
10/31/2008
Last updated
03/07/2013
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