Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X005432-1 | NY |
NPI | 1417025537 |
---|---|
Provider Name | Dr. Seth M. Wolin |
First Address | Armonk, NY 10504-2317 |
Second Address | Armonk, NY 10504-2317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 23/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4325966 | AETNA (01) | NY |
911530 | ACN (01) | NY |
CO5432-2B | WORKERS COMPENSATION (01) | NY |
P414924 | OXFORD HEALTH PLANS (01) | NY |
T53111 | (02) | |
X-2903 | EMPIRE BC-BS (01) | NY |