Individual
WILLIAM JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2209 GENESEE ST, HOSPITALIST PROGRAM, UTICA, NY 13501-5930
(315) 798-8263
(315) 734-4988
Mailing address
2209 GENESEE ST, HOSPITALIST PROGRAM, UTICA, NY 13501-5930
(315) 798-8263
(315) 734-4988
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
199505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01677590
—
NY
01
—
080176533
RRMCR
—
Enumeration date
10/24/2005
Last updated
11/19/2014
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