Gulston, Wayne V

Gulston, Wayne V is an individual health care provider with primary practice located at 234 E 149Th St , Bronx NY 10451-5504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gulston, Wayne V can be contacted via phone (718) 579-5579.

Contact Information

Primary practice address
234 E 149Th St Bronx NY 10451-5504
Phone: (718) 579-5579
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1888481 New York

Profile Details

NPI number 1578611836
LBN Legal business name Gulston, Wayne V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578611836 NPPES
New York MEDICAID 01456871

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