Frickel, Wendy Douglas

Frickel, Wendy Douglas is an individual health care provider with primary practice located at 101 Dates Drive Cayuga Medical Ctr, Ithaca NY 14850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Frickel, Wendy Douglas can be contacted via phone (607) 274-4322.

Contact Information

Primary practice address
101 Dates Drive Cayuga Medical Ctr Ithaca NY 14850
Phone: (607) 274-4322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 161578 New York

Profile Details

NPI number 1760475966
LBN Legal business name Frickel, Wendy Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 28th, 2008 - about 16 years ago

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 1760475966 NPPES
New York MEDICAID 02632162

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