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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALL STREET PHYSICIAN PLLC

Active Organization

WALL STREET PHYSICIAN PLLC is a Internal Medicine organization located in NEW YORK, New York. NPI 1811240112 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · NEW YORK, NY

Registration Details

NPI Number
1811240112
Provider Type
Organization
NPI Issued
Oct 24, 2012 (13.823530450294 yrs)
Last Updated
Aug 15, 2014
License
1676231 (NY)

Practice Information

Address
111 BROADWAY
SUITE 402
NEW YORK, NY, 100061901
Browse NY providers · Browse ZIP 10006
Phone
2127840072
Fax
2127840076
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.