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Individual

ERIC WOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 WOODS RD, TCC-D342, VALHALLA, NY 10595-1530
(914) 493-6616
(914) 493-5127
Mailing address
100 WOODS RD, TCC-D342, VALHALLA, NY 10595-1530
(914) 493-6616
(914) 493-5127

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
212926
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000071005
GHI HMO
NY
05
01974827
NY
01
110244758
RAILROAD MEDICARE
NY
01
1439190
AETNA HMO
NY
01
1724225
FIRST HEALTH
NY
01
2590442
GHI PPO
NY
01
4C3135
HEALTHNET
NY
01
505691
EMPIRE BCBS (VALHALLA)
NY
01
5502773
AETNA PPO
NY
01
696152
MVP
NY
01
P2640191
OXFORD
NY
01
WE2926
ATLANTIS HEALTH PLAN
NY
Enumeration date
07/19/2006
Last updated
10/09/2015
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