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Individual

DR. BARRY DAVID WENGLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
56 DOYER AVENUE, SUITE 1E-F, WHITE PLAINS, NY 10605-1639
(914) 948-0500
(914) 948-0560
Mailing address
56 DOYER AVE, SUITE 1-EF, WHITE PLAINS, NY 10605-1639
(914) 948-0500
(914) 948-0560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
122977
NY
207RI0200X
Infectious Disease Physician
122977
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00231003
NY
01
972751
EMPIRE BLUE CROSS & BLUE SHIELD
NY
Enumeration date
01/10/2006
Last updated
11/22/2010
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