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NPI Code Detail

MEDICARE: STEVEN WREN

MEDICARE: STEVEN WREN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134075435
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN WREN
Provider Business Mailing Address
First Line : 1300 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4805
Country : US
Telephone Number : 347-581-3377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ STEVEN WREN ” Practice Location

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