Individual
DR. JAMES STEVEN WYSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Mailing address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 670-2127
(718) 961-1853
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
244348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
'03382978
—
NY
Enumeration date
06/03/2008
Last updated
04/02/2021
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