Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 203319 | NY |
N | 207VX0000X | Obstetrician | 203319 | NY |
NPI | 1376623835 |
---|---|
Provider Name | Wendy C Wilcox |
First Address | New York, NY 10037-1802 |
Second Address | New York, NY 10037-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 14/02/2022 |