Organization
THADDEUS WANDEL M. D., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY BOLLIN (OFFICE MANAGER)
(914) 271-5026
Entity
Organization
Contact information
Practice address
136 OLD POST RD N, CROTON ON HUDSON, NY 10520-1934
(914) 271-5026
(914) 271-6592
Mailing address
136 OLD POST RD N, CROTON ON HUDSON, NY 10520-1934
(914) 271-5026
(914) 271-6592
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
098683
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00168263
—
NY
Enumeration date
03/18/2008
Last updated
03/18/2008
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