Wysock, James Steven

Wysock, James Steven is an individual health care provider with primary practice located at 5645 Main St W-Ll300, Flushing NY 11355-5045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wysock, James Steven can be contacted via phone (718) 445-0220.

Contact Information

Primary practice address
5645 Main St W-Ll300 Flushing NY 11355-5045
Phone: (718) 445-0220
Fax: (718) 939-1167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 244348 New York

Profile Details

NPI number 1538328810
LBN Legal business name Wysock, James Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Apr 2nd, 2021 - about 4 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 1538328810 NPPES
New York MEDICAID '03382978

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