Dr. Reason Wilken
MOHS-Micrographic Surgeon
1991 Marcus Ave Ste 300
North New Hyde Park
, New York 11042-2058
Dr. Reason Wilken
MOHS-Micrographic Surgeon
1991 Marcus Ave Ste 300
North New Hyde Park
, New York 11042-2058
(516) 719-3376
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Reason Wilken
- Northwell Health Dermatology 1991 Marcus Avenue Suite 300
- North New Hyde Park, NY
- Zip : 10042-3300
- Phone : (516) 719-3376
Second Address
- Dr. Reason Wilken
- 1991 Marcus Ave Ste 300
- North New Hyde Park, NY
- Zip : 11042-2058
- Phone : (516) 321-8551
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 298778-1 | NY |
National Provider Identifier
| NPI | 1174814735 |
|---|---|
| Provider Name | Dr. Reason Wilken |
| First Address | North New Hyde Park, NY 10042-3300 |
| Second Address | North New Hyde Park, NY 11042-2058 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2011 |
| Last Update Date | 28/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.