Individual
WILFREDO TALAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 W 26TH ST FL 3, NEW YORK, NY 10001-6975
(646) 660-9999
(646) 778-3485
Mailing address
148 W 23RD ST, APT 12-B, NEW YORK, NY 10011-2435
(917) 622-7137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
133330
NY
207RP1001X
Pulmonary Disease Physician
Primary
133330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00727468
—
NY
05
—
5068801
—
NJ
Enumeration date
12/11/2006
Last updated
05/12/2026
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