Provider Demographics
NPI:1548398456
Name:SEE, WANDA CENNERAZZO (RN, NP)
Entity type:Individual
Prefix:MRS
First Name:WANDA
Middle Name:CENNERAZZO
Last Name:SEE
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
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Mailing Address - Street 1:68 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2020
Mailing Address - Country:US
Mailing Address - Phone:212-746-4958
Mailing Address - Fax:212-746-8622
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:SUITE F-760
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-4958
Practice Address - Fax:212-746-8622
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY336-318163W00000X
NYF301597-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health