Individual
MR. ERIC D WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
215 WEST 125TH STREET, 2ND FLOOR, NEW YORK, NY 10027
(212) 491-2400
(212) 491-2401
Mailing address
55 WATER ST, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085004084
—
IL
Enumeration date
08/09/2011
Last updated
10/02/2019
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