Tamara Jennifer Wrzesinski
Pediatrician
1092 Madison Ave
Albany
, New York 12208-2248
Tamara Jennifer Wrzesinski
Pediatrician
1092 Madison Ave
Albany
, New York 12208-2248
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Tamara Jennifer Wrzesinski
- Po Box 14890
- Albany, NY
- Zip : 12212-4890
- Phone :
Second Address
- Tamara Jennifer Wrzesinski
- 1092 Madison Ave
- Albany, NY
- Zip : 12208-2248
- Phone : (518) 525-2445
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FAQs
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Is Tamara Jennifer Wrzesinski a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 043303 | CT |
| Y | 208000000X | Pediatrician | 260478 | NY |
National Provider Identifier
| NPI | 1003804360 |
|---|---|
| Provider Name | Tamara Jennifer Wrzesinski |
| First Address | Albany, NY 12212-4890 |
| Second Address | Albany, NY 12208-2248 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2005 |
| Last Update Date | 01/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001433036 | (05) | CT |
| I09940 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.