Provider Demographics
NPI:1093075483
Name:WENSLOW, WENDY
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:WENSLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 COURT ST
Mailing Address - Street 2:COUNTY OFFICE BUILDING
Mailing Address - City:BELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:14813-1076
Mailing Address - Country:US
Mailing Address - Phone:585-268-9627
Mailing Address - Fax:
Practice Address - Street 1:7 COURT ST
Practice Address - Street 2:COUNTY OFFICE BUILDING
Practice Address - City:BELMONT
Practice Address - State:NY
Practice Address - Zip Code:14813-1076
Practice Address - Country:US
Practice Address - Phone:585-268-9627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator