Jerome Wildes in Howard Beach - Allergy

Jerome Wildes - NPI 1619961539

Jerome Wildes is a Allergy in Howard Beach, New York. Jerome Wildes practices all healthcare services and medical treatments related to Allergy. The NPI Number for Jerome Wildes is 1619961539. The last update date is 2021-11-05.

Jerome Wildes's current location address is 9116 158th Ave, Howard Beach, New York. You can contact this provider via phone number 7188353454 and fax number 5162393743. The mailing address for Jerome Wildes is 9116 158th Ave, Howard Beach, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerome Wildes
Address 9116 158th Ave, Howard Beach, New York
Phone Number 7188353454
Fax Number 5162393743
Sole Proprietor X
Credentials M.D

NPI Number Detail

NPI Number 1619961539
Provider Enumeration Date 2005-09-07
Last Updated Date 2021-11-05

Provider Mailing Address Detail

Address 9116 158th Ave
City Howard Beach
State New York (NY)
Post Code 114143126
Phone Number 7188353454
Fax Number 5162393743

Provider's Primary Taxonomy Detail

Speciality Allergy
Taxonomy 207Ka0200X
Licence No 81878
Definition:
A physician who specializes in the diagnosis, treatment, and management of allergies.

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FAQs about Jerome Wildes

What is the unique identifier code issued to Jerome Wildes by the Centers for Medicare & Medicaid Services (CMS)?

The Jerome Wildes has been assigned the NPI (National Provider Identifier) 1619961539. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Jerome Wildes is physically located?

The Jerome Wildes is physically situated at the following address: 9116 158Th Ave, Howard Beach, NY, 114143126.

What is Jerome Wildes's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerome Wildes's area of specialization is Allergy, and the corresponding taxonomy code that categorizes this field of practice is 207Ka0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1619961539 to Jerome Wildes?

The Jerome Wildes received its 1619961539 assignment from the Centers for Medicare & Medicaid Services on 2005-09-07.

When was the information regarding Jerome Wildes most recently updated?

The details pertaining to the Jerome Wildes, including its address, specialty, and other relevant information, were last refreshed on 2021-11-05.

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