Individual
DR. ROGER EBAN WOLFSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 EAST 76TH STREET, NEW YORK, NY 10021
(212) 434-5337
Mailing address
420 EAST 76TH STREET, NEW YORK, NY 10021
(212) 434-5337
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
185802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185802
—
NY
Enumeration date
05/02/2007
Last updated
07/08/2007
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