Wiesenthal, Adam Jason

Wiesenthal, Adam Jason is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wiesenthal, Adam Jason can be contacted via phone (845) 333-7575.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Phone: (845) 333-7575
Fax: (845) 333-3641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 012686 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002057 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 012686-1 New York

Profile Details

NPI number 1972796696
LBN Legal business name Wiesenthal, Adam Jason
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Jun 6th, 2022 - about 2 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 1972796696 NPPES
New York MEDICAID 03315184

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