Wadowski, Stephen Julian
Wadowski, Stephen Julian is an individual health care provider with primary practice located at 450 Clarkson Ave Box49, Brooklyn NY 11203-2056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Wadowski, Stephen Julian can be contacted via phone (718) 270-2592.Contact Information
Primary practice address
450 Clarkson Ave Box49
Brooklyn NY 11203-2056
Phone: (718) 270-2592
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 177699 | New York |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 177699 | New York |
Profile Details
NPI number | 1023095205 |
---|---|
LBN Legal business name | Wadowski, Stephen Julian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 28th, 2005 |
Last updated | Feb 2nd, 2022 - about 3 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 | 1023095205 | NPPES |
New York | MEDICAID | 01636768 |
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