National Provider Identifier
Elizabeth Wende Breast Care LLC
Elizabeth Wende Breast Care LLC is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Rochester, NY and a listed phone number of (585) 758-7006.
Profile Overview
- NPI
- 1720267982
- Provider Type
- Organization
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- October 24, 2007
- Last Updated
- June 11, 2025
Practice Location
- 170 Sawgrass Dr
- Rochester, NY 14620-4648
Phone: (585) 758-7006
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1720267982
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Elizabeth Wende Breast Care LLC
- Mailing Street Address
- 170 Sawgrass Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4648
- Mailing Country
- US
- Mailing Phone
- (585) 758-7006
- 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) 758-7006
- Practice Fax
- (585) 442-1837
- Enumeration Date
- October 24, 2007
- Last Updated
- June 11, 2025
- Authorized Official Last Name
- Wiebeld
- Authorized Official First Name
- Annette
- Authorized Official Title
- Administration
- Authorized Official Phone
- (585) 442-2190
- Organization Subpart
- No
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- June 11, 2025
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)