Dr. Wilson Domingo Heredia Nunez
Child Neurologist
5 East 98th Street Fl 1, Rm# F1-116
New York
, New York 10029
Dr. Wilson Domingo Heredia Nunez
Child Neurologist
5 East 98th Street Fl 1, Rm# F1-116
New York
, New York 10029
(212) 241-7076
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Wilson Domingo Heredia Nunez
- 5 East 98th Street Fl 1, Rm# F1-116
- New York, NY
- Zip : 10029
- Phone : (212) 241-7076
Second Address
- Dr. Wilson Domingo Heredia Nunez
- 5 East 98th Street Fl 1, Rm# F1-116
- New York, NY
- Zip : 10029
- Phone : (212) 241-7076
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 299483 | NY |
National Provider Identifier
| NPI | 1255776589 |
|---|---|
| Provider Name | Dr. Wilson Domingo Heredia Nunez |
| First Address | New York, NY 10029 |
| Second Address | New York, NY 10029 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2013 |
| Last Update Date | 11/07/2019 |
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.