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NPI Code Detail

MEDICARE: DR. STEVEN I WENGROVER M.D.

MEDICARE: DR. STEVEN I WENGROVER M.D.
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
12085R0202XDiagnostic Radiology Physician146223-1NY

General Provider Information

NPI Number : 1134117831
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN I WENGROVER M.D.
Provider Business Mailing Address
First Line : 52 MAIN ST
Second Line :
City : BEDFORD HILLS
State : NY
Zip : 10507-1814
Country : US
Telephone Number : 914-666-3320
Fax Number : 914-666-3340
Provider Business Practice Location Address
First Line : 52 MAIN ST
Second Line :
City : BEDFORD HILLS
State : NY
Zip : 10507-1814
Country : US
Telephone Number : 914-666-3320
Fax Number : 914-666-3340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 06/16/2009

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