Individual
JON STEVEN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1944 WADING RIVER MANOR RD, WADING RIVER, NY 11792-2137
(843) 819-4166
Mailing address
1944 WADING RIVER MANOR RD, WADING RIVER, NY 11792-2137
(843) 819-4166
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
285973-1
NY
Other
Enumeration date
04/15/2014
Last updated
06/23/2020
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