Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 121043 | NY |
NPI | 1073836680 |
---|---|
Provider Name | Dr. James Carter Wernz |
First Address | New York, NY 10069-1001 |
Second Address | New York, NY 10069-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2010 |
Last Update Date | 10/03/2010 |