Most Relevant Information
Provider Data
| NPI Number: | 1003804360 |
| Provider Name: | TAMARA JENNIFER WRZESINSKI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 043303 |
Most Important Dates
| Enumeration Date: | 10/11/2005 |
| Last Updated: | 06/01/2021 |
Provider Practice Location
1092 MADISON AVE
ALBANY
NY
122082248
Practice Location Phone/Fax
| Phone: | 5185252445 |
| Fax: |
Provider Mailing Location
PO BOX 14890
ALBANY
NY
122124890
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Pediatrics EMR