Wildes, Jerome

Wildes, Jerome is an individual health care provider with primary practice located at 9116 158Th Ave , Howard Beach NY 11414-3126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Wildes, Jerome can be contacted via phone (718) 835-3454.

Contact Information

Primary practice address
9116 158Th Ave Howard Beach NY 11414-3126
Fax: (516) 239-3743
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 081878 New York

Profile Details

NPI number 1619961539
LBN Legal business name Wildes, Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Nov 5th, 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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