Individual
GREGORY WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 E 77TH ST, LENOX HILL RADIOLOGY, NEW YORK, NY 10075-1817
(212) 772-3111
Mailing address
401 E 80TH ST, APT 32A, NEW YORK, NY 10075-0655
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2514871
NY
Other
Enumeration date
02/25/2007
Last updated
06/15/2021
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