Wandel, Thaddeus L

Wandel, Thaddeus L is an sole proprietor health care provider with primary practice located at 136 Old Post Rd N , Croton On Hudson NY 10520-1934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wandel, Thaddeus L can be contacted via phone (914) 271-5026.

Contact Information

Primary practice address
136 Old Post Rd N Croton On Hudson NY 10520-1934
Fax: (914) 271-6592
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 098683 New York

Profile Details

NPI number 1053313767
LBN Legal business name Wandel, Thaddeus L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Dec 15th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053313767 NPPES
New York MEDICAID 00168263

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