Richard Philip Wentz Jr., RN
Registered Nurse in North Baldwin, NY. Individual provider (NPI-1).
NPI number1871019554
StatusActive
Last updated in NPPESAug 15, 2017
Details
- NPI
- 1871019554
- Entity type
- Individual (NPI-1)
- Name
- Richard Philip Wentz Jr.
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2017
- Last updated
- Aug 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 556814-1 | NY | Yes |
Practice location
1976 Grand AveNorth Baldwin, NY 11510-2813
Phone 516-855-1800 · Fax 516-855-1811
Mailing address
1976 Grand AveNorth Baldwin, NY 11510-2813
Phone 516-855-1800 · Fax 516-855-1811
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