Mccoy, Wanda
Mccoy, Wanda is an individual health care provider with primary practice located at 85 W Burnside Ave , Bronx NY 10453-4015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mccoy, Wanda can be contacted via phone (718) 716-4400.Contact Information
Primary practice address
85 W Burnside Ave
Bronx NY 10453-4015
Phone: (718) 716-4400
Fax: (718) 228-7471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 155625 | New York |
Profile Details
| NPI number | 1962476333 |
|---|---|
| LBN Legal business name | Mccoy, Wanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Feb 9th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962476333 | NPPES |
| New York | Other | 155625 | LICENSE# |
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