Wisdom, Gregory S

Wisdom, Gregory S is an individual health care provider with primary practice located at 111 Bedford Rd Caremount Medical, Pc, Katonah NY 10536-2115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wisdom, Gregory S can be contacted via phone (914) 241-1050.

Contact Information

Primary practice address
111 Bedford Rd Caremount Medical, Pc Katonah NY 10536-2115
Phone: (914) 241-1050
Fax: (914) 232-7588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 201012 New York

Profile Details

NPI number 1184624371
LBN Legal business name Wisdom, Gregory S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Oct 19th, 2016 - about 9 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 1184624371 NPPES
New York MEDICAID 01873656

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