Individual
DR. JAMES PETER WOLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1ST AVE & 16TH ST, BERNSTEIN PAVILION, NEW YORK, NY 10003
(212) 420-4566
Mailing address
199 CLINTON ST, #4, BROOKLYN, NY 11201-6259
(718) 422-0192
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
191703
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P1075026
—
NY
Enumeration date
05/04/2007
Last updated
07/08/2007
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