Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 097208-1 | NY |
NPI | 1174714927 |
---|---|
Provider Name | Dr. Barry Wenz |
First Address | North Salem, NY 10560-2201 |
Second Address | North Salem, NY 10560-2201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2007 |
Last Update Date | 07/08/2007 |