Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 303145-01 | NY |
NPI | 1043606163 |
---|---|
Provider Name | Wilson Sze |
First Address | Commack, NY 11725-5020 |
Second Address | Hauppauge, NY 11788-5114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 26/08/2020 |