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General NPI Number Information
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NPI Number | 1285194639
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Entity Type | Individual
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Provider Name | AARON WENGROFSKY
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Gender | Male
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1999 MARCUS AVE STE 220
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1021
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Country | US
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Telephone | 516-869-5400
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Fax | 516-869-5800
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Provider Business Mailing Address
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Address Line | 700 HICKSVILLE RD
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City | BETHPAGE
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State | NY
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Zip | 11714-3471
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 333427
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License Number State | NY
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