Provider Demographics
NPI:1376542225
Name:ZIECHECK, WENDY SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:SUE
Last Name:ZIECHECK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:110 E 55TH ST
Mailing Address - Street 2:FLOOR 9
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4540
Mailing Address - Country:US
Mailing Address - Phone:212-758-3590
Mailing Address - Fax:212-486-0640
Practice Address - Street 1:110 E 55TH ST
Practice Address - Street 2:FLOOR 9
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4540
Practice Address - Country:US
Practice Address - Phone:212-758-3590
Practice Address - Fax:212-486-0640
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2008-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY205426207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY42C761Medicare PIN
NYG78522Medicare UPIN