Individual
OLAYINKA O WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 ARCH ST, DIABETES CENTER - PICCIANO 2, JOHNSON CITY, NY 13790-2102
(607) 763-6092
(607) 763-6677
Mailing address
58 LUSK ST, JOHNSON CITY, NY 13790-2541
(607) 763-6293
(607) 763-6717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234909
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
234909
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02871209
—
NY
Enumeration date
10/12/2005
Last updated
02/16/2010
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