Organization
HERBERT M WYMAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT M WYMAN MD (SOLE PROPRIETOR)
(212) 362-6792
Entity
Organization
Contact information
Practice address
27 W 86TH ST, APT 1C, NEW YORK, NY 10024-3615
(212) 362-6792
Mailing address
27 W 86TH ST, APT 1C, NEW YORK, NY 10024-3615
(212) 362-6792
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
92610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90271
BLUE CROSS
NY
Enumeration date
07/30/2014
Last updated
07/30/2014
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