Wrzesinski, Tamara Jennifer

Wrzesinski, Tamara Jennifer is an individual health care provider with primary practice located at 1092 Madison Ave , Albany NY 12208-2248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wrzesinski, Tamara Jennifer can be contacted via phone (518) 525-2445.

Contact Information

Primary practice address
1092 Madison Ave Albany NY 12208-2248
Phone: (518) 525-2445
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 043303 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 260478 New York

Profile Details

NPI number 1003804360
LBN Legal business name Wrzesinski, Tamara Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jun 1st, 2021 - about 3 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 1003804360 NPPES
Connecticut MEDICAID 001433036

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