Provider Demographics
NPI:1790872125
Name:GILCHRIST, WENDY A (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:A
Last Name:GILCHRIST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2868
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-0259
Mailing Address - Country:US
Mailing Address - Phone:518-562-7900
Mailing Address - Fax:518-562-7933
Practice Address - Street 1:159 MARGARET ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1893
Practice Address - Country:US
Practice Address - Phone:518-314-3939
Practice Address - Fax:518-314-3940
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2014-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY21570301207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY080170737OtherRAILROAD MEDICARE
NYWG00D31010OtherEMPIRE BC/BS
NY141338471OtherGHI
NY141338471OtherFIDELIS
NY02177168Medicaid
NYP010215703OtherEXCELLUS UTICA WATERTOWN
NY114406OtherVALUE OPTIONS
NY7116266OtherAETNA
NY346621OtherMVP
NM000492662005OtherBS OF NENY
NY114406OtherVALUE OPTIONS
E74830Medicare UPIN