Individual
MR. FRITZ WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
(212) 939-3128
Mailing address
1440 WOOD RD, APT MF, BRONX, NY 10462-7249
(718) 822-0279
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
061202
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
813840
PROVIDER NUMBER CHILD PSY
NY
Enumeration date
01/17/2007
Last updated
07/08/2007
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