Baraban, Wendy A

Baraban, Wendy A is an sole proprietor health care provider with primary practice located at 1305 Middle Country Rd Ste 1 , Selden NY 11784-2554. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Baraban, Wendy A can be contacted via phone (631) 698-2267.

Contact Information

Primary practice address
1305 Middle Country Rd Ste 1 Selden NY 11784-2554
Phone: (631) 698-2267
Fax: (631) 698-2232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N005620 New York

Profile Details

NPI number 1790866002
LBN Legal business name Baraban, Wendy A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jan 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790866002 NPPES
New York MEDICAID 02417292

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