Provider Demographics
NPI:1992452445
Name:PATH TO WELLNESS ADULT HEALTH NURSE PRACTITIONER SERVICES
Entity type:Organization
Organization Name:PATH TO WELLNESS ADULT HEALTH NURSE PRACTITIONER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YING
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOHLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:716-512-1949
Mailing Address - Street 1:136 HALSTON PKWY
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1890
Mailing Address - Country:US
Mailing Address - Phone:716-512-1949
Mailing Address - Fax:
Practice Address - Street 1:136 HALSTON PKWY
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1890
Practice Address - Country:US
Practice Address - Phone:716-512-1949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center