Organization
WENDY SANZONE-KORKUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY MARIE SANZONE-KORKUS (EDUCATOR)
(631) 478-1422
Entity
Organization
Contact information
Practice address
260 7TH ST, SAINT JAMES, NY 11780-2731
(631) 478-1422
Mailing address
260 7TH ST, SAINT JAMES, NY 11780-2731
(631) 478-1422
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
A J BEHAVIORAL
NY
Enumeration date
05/11/2017
Last updated
05/11/2017
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