Individual
DR. JAMES R WILENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 UNION SQ. E., STE 5M1, NEW YORK, NY 10003-3314
(212) 253-6800
(212) 253-6100
Mailing address
10 UNION SQ E, STE 5M1, NEW YORK, NY 10003-3314
(212) 253-6800
(212) 253-6100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
165980
NY
207RI0011X
Interventional Cardiology Physician
Primary
165980
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00996218
—
NY
Enumeration date
09/09/2005
Last updated
07/01/2015
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