Provider Demographics
NPI:1295987915
Name:WHITMAN, WENDY (L AC)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 PAYSON AVE
Mailing Address - Street 2:6F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-2711
Mailing Address - Country:US
Mailing Address - Phone:212-567-8508
Mailing Address - Fax:
Practice Address - Street 1:119 PAYSON AVE
Practice Address - Street 2:6F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-2711
Practice Address - Country:US
Practice Address - Phone:212-567-8508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000270-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist