Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 084947 | NY |
N | 208000000X | Pediatrician | 084947 | NY |
NPI | 1427184852 |
---|---|
Provider Name | Joseph S Wojcik |
First Address | Yonkers, NY 10708-1137 |
Second Address | Yonkers, NY 10708-1137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 05/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00304967 | (05) | NY |