Wigderson, Jonathan David

Wigderson, Jonathan David is an individual health care provider with primary practice located at 1903 Sunset Ave , Utica NY 13502-5617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wigderson, Jonathan David can be contacted via phone (315) 624-8150.

Contact Information

Primary practice address
1903 Sunset Ave Utica NY 13502-5617
Phone: (315) 624-8150
Fax: (315) 797-1537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 186538 New York

Profile Details

NPI number 1073574679
LBN Legal business name Wigderson, Jonathan David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 5th, 2019 - about 5 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 1073574679 NPPES
New York MEDICAID 01676544

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