Wieder, Sheldon

Wieder, Sheldon is an individual health care provider with primary practice located at 4802 10Th Ave , Brooklyn NY 11219-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wieder, Sheldon can be contacted via phone (718) 283-8958.

Contact Information

Primary practice address
4802 10Th Ave Brooklyn NY 11219-2916
Fax: (718) 635-7105
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 101867 New York

Profile Details

NPI number 1750364592
LBN Legal business name Wieder, Sheldon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750364592 NPPES
New York MEDICAID 02108616

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