Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEROME WILDES, M.D
ActiveDR. JEROME WILDES, M.D is a Allergy healthcare provider located in HOWARD BEACH, New York. NPI 1619961539 is currently active in the NPPES registry. Verify at CMS.
Allergy · HOWARD BEACH, NY
Registration Details
- NPI Number
- 1619961539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2005 (20.97375158578 yrs)
- Last Updated
- Nov 5, 2021
- License
-
081878 (NY)
Practice Information
- Address
-
9116 158TH AVEHOWARD BEACH, NY, 114143126Browse NY providers · Browse ZIP 11414
- Phone
- 7188353454
- Fax
- 5162393743
- Primary Specialty
-
Allergy
207KA0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.