Individual
WENDY CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4 LAND RE WAY, SUITE 100, SPENCERPORT, NY 14559
(585) 368-6620
(585) 368-6621
Mailing address
4 LAND RE WAY, SUITE 100, SPENCERPORT, NY 14559
(585) 368-6620
(585) 368-6621
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008728
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02413243
—
NY
Enumeration date
07/03/2006
Last updated
09/06/2022
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