Individual
MS. CHRISTINE WANDZILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
640 ELLICOTT ST, BUFFALO, NY 14203-1245
(716) 893-1010
Mailing address
640 ELLICOTT ST, BUFFALO, NY 14203-1245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F339969-1
NY
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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