| Doctor Name: | WENDY A MARSHALL |
| NPI Number: | 1255515243 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B. S. |
| License Number: | 004445-1 |
| Business Practice Address: | 1518 Woodside Ave North Baldwin, NY - 115101909 |
| Business Phone Number: | 5165787725 |
| Business Fax Number: | |
| Mailing Address: | 1518 Woodside Ave, NORTH BALDWIN |
| State: | NY |
| Postal Code: | 115101909 |
| Phone Number: | 5165787725 |
| Fax Number: | |
| NPI Enumeration Date: | 12/26/2007 |
| NPI Last Update Date: | 12/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 004445-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |