Provider Demographics
NPI:1154473742
Name:ARONSON, WENDY SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:SUE
Last Name:ARONSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E 69TH ST
Mailing Address - Street 2:8J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5549
Mailing Address - Country:US
Mailing Address - Phone:212-734-2980
Mailing Address - Fax:
Practice Address - Street 1:333 E 69TH ST
Practice Address - Street 2:8J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5549
Practice Address - Country:US
Practice Address - Phone:212-734-2980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104287207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B15674Medicare UPIN