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Organization
WAKEFIELD MEDICAL PROFESSIONALS, P.C.
Active
Organization
WAKEFIELD MEDICAL PROFESSIONALS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO COMUYOG UY M.D. (PRESIDENT)
(718) 994-6755
Entity
Organization
Contact information
Practice address
711 NEREID AVE, BRONX, NY 10466-1201
(718) 994-6755
(718) 994-3032
Mailing address
711 NEREID AVE, BRONX, NY 10466-1201
(718) 994-6755
(718) 994-3032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
236741
NY
207R00000X
Internal Medicine Physician
202436
NY
207R00000X
Internal Medicine Physician
Primary
237144
NY
208000000X
Pediatrics Physician
166745
NY
208000000X
Pediatrics Physician
169367
NY
208000000X
Pediatrics Physician
170475
NY
208000000X
Pediatrics Physician
218147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00968790
—
NY
Enumeration date
05/18/2007
Last updated
09/11/2025
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