Individual
MR. TSOHUANG JERRY WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
670 STONELEIGH AVE, CARMEL, NY 10512-3997
(845) 483-6559
Mailing address
1351 ROUTE 55 200, LAGRANGEVILLE, NY 12540-5128
(845) 475-9622
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248973
NY
208M00000X
Hospitalist Physician
Primary
248973
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A400001165
—
NY
Enumeration date
06/24/2008
Last updated
01/24/2017
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