Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MT186478 | PA |
Y | 207VE0102X | Reproductive Endocrinologist | 265221 | NY |
N | 207VE0102X | Reproductive Endocrinologist | MD12970 | RI |
NPI | 1609071059 |
---|---|
Provider Name | Wendy S Vitek |
First Address | Rochester, NY 14642 |
Second Address | Rochester, NY 14623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2007 |
Last Update Date | 16/08/2012 |