Organization
BARBARA JEAN WILK, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA JEAN WILK M.D. (PHYSICIA PRESIDENT S CORP)
(631) 979-0091
Entity
Organization
Contact information
Practice address
181 SMITHTOWN BLVD, SUITE101, NESCONSET, NY 11767-1875
(631) 979-0091
(631) 979-0082
Mailing address
181 SMITHTOWN BLVD, SUITE101, NESCONSET, NY 11767-1875
(631) 979-0091
(631) 979-0082
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
172814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01346574
—
NY
01
—
37K291
MEDICARE ID TYPE UNSPECIFIED
NY
Enumeration date
11/03/2011
Last updated
11/03/2011
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