National Provider Identifier
Wende W. Young
Wende W. Young is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Rochester, NY and a listed phone number of (585) 442-2190.
Profile Overview
- NPI
- 1194753749
- Provider Type
- Organization
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- June 30, 2006
- Last Updated
- March 17, 2008
Practice Location
- 170 Sawgrass Dr
- Rochester, NY 14620-4648
Phone: (585) 442-2190
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1194753749
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Wende W. Young
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 170 Sawgrass Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4648
- Mailing Country
- US
- Mailing Phone
- (585) 442-2190
- Mailing Fax
- (585) 442-1837
- Practice Street Address
- 170 Sawgrass Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4648
- Practice Country
- US
- Practice Phone
- (585) 442-2190
- Practice Fax
- (585) 442-1837
- Enumeration Date
- June 30, 2006
- Last Updated
- March 17, 2008
- Authorized Official Last Name
- Young
- Authorized Official First Name
- Wende
- Authorized Official Middle Name
- W
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 442-2190
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- M.D.
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 02711806 (NY)