TATE WEGENER

JAMAICA, NY
NPI1760557615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004451)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
-- TATE WEGENER PA
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3225
Mailing Address
-- TATE WEGENER PA
7901 BROADWAY MANAGED CARE, D1-01
ELMHURST, NY 11373-1329
Phone number: 718-334-1921
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