MS. CHRISTINE WANDZILAK


Address: 640 Ellicott St, Buffalo, NY 14203-1245
Phone: 7168931010

MS. CHRISTINE WANDZILAK (NPI# 1952772154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952772154
Entity Type Individual
Full Name MS. CHRISTINE WANDZILAK
Credential DNP
Practice Address 640 Ellicott St
Buffalo
NY 14203-1245
Practice Telephone 7168931010
Enumeration Date 2015-10-13
Last Update Date 2015-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family 		F339969-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 640 ELLICOTT ST
City BUFFALO
State NY
Zip Code 14203-1245

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477539823 Alfredo M Rodes Internal Medicine 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 2005-12-19
1396190450 Joshua Laird Carpenter Physician Assistant 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 2016-04-26
1740641182 Sandra Lee Winiasz Physician Assistant 640 Ellicott St, Suite #105, Buffalo, NY 14203-1245 2016-03-13
1164882064 Alie Gilbert Physician Assistant 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 2016-03-04
1073907713 Kimberly Ann Gruber Nurse Practitioner 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 2015-03-19
1912303322 Daniel Rifkin Md, PC Durable Medical Equipment & Medical Supplies 640 Ellicott St, Buffalo, NY 14203-1245 2014-11-12
1194132415 Mobile Physician Services Pllc Nurse Practitioner 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 2014-07-18
1497021067 Apnea Care Inc. Durable Medical Equipment & Medical Supplies 640 Ellicott St, Buffalo, NY 14203-1245 2012-03-28
1669673349 Mobile Primary Care Family Nurse Practitioners, Pllc Nurse Practitioner 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 2007-05-30
1649245812 Edward J Metzger Jr. Nurse Practitioner 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 2006-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912514902 Valerie Anne Conley Counselor 475 Elllicott St., Buffalo, NY 14203 2020-09-24
1457975674 Qing Ma Pharmacist Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 2020-06-03
1265056659 Elizabeth Nicole Mancuso Student in an Organized Health Care Education/Training Program 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 2020-06-02
1720601404 Ronak Dhiraj Bahuva Student in an Organized Health Care Education/Training Program 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 2020-05-28
1780207266 Jaya Mishra Student in an Organized Health Care Education/Training Program 818 Ellicot Street, Buffalo, NY 14203 2020-05-19
1013530617 Amanpreet Kaur Singh Student in an Organized Health Care Education/Training Program 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 2020-05-19
1013538917 Leen Hosam Alyacoub Student in an Organized Health Care Education/Training Program 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 2020-05-01
1003436601 Maxiam Dean Student in an Organized Health Care Education/Training Program Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 2020-04-23
1144849837 Jennifer Anthone-kloss Student in an Organized Health Care Education/Training Program Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 2020-04-13
1821658873 Peter William Ip Fung Chun Student in an Organized Health Care Education/Training Program 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 2019-06-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1659921609 Ashley Lynn Ferguson Nurse Practitioner 8 Rose Dr, Buffalo, WY 82834-9312 2019-09-11
1093376121 Patrisha Jane Neff Nurse Practitioner 12009 Mineral Ave, Buffalo, OH 43722 2019-06-28
1699336230 Taylor Jean Tamburlin Nurse Practitioner 2240 N Forest Rd, Buffalo, NY 14221-1357 2019-06-25
1447815436 Susan My Nghe Nurse Practitioner 1458 Sheridan Dr, Buffalo, NY 14217-1249 2019-05-05
1457914228 Scot Lee Yarnell Nurse Practitioner 310 S Pacific St, Buffalo, KS 66717-2140 2019-04-17
1679021158 Dawn Harrison Nurse Practitioner 935 Delaware Ave., Suite 300, Buffalo, NY 14209 2016-09-14
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Competitor

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City BUFFALO
Zip Code 14203

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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