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
Fax: (718) 228-7471
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962476333 NPPES
New York Other 155625 LICENSE#

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