Provider Demographics
NPI:1114048642
Name:WEN, ANGIE E (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGIE
Middle Name:E
Last Name:WEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:77 WORTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3411
Mailing Address - Country:US
Mailing Address - Phone:212-966-3901
Mailing Address - Fax:212-966-6295
Practice Address - Street 1:77 WORTH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3411
Practice Address - Country:US
Practice Address - Phone:212-966-3901
Practice Address - Fax:212-966-6295
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243523207WX0120X
NY243523-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist