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General NPI Number Information
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NPI Number | 1457449217
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Entity Type | Organization
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Legal Business Name | BARRY M. WILKES, M.D., P.C.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 885 PARK AVE STE 1A
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City | NEW YORK
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State | NY
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Zip | 10021-0325
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Country | US
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Telephone | 212-861-3534
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Fax | 212-794-7295
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Provider Business Mailing Address
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Address Line | PO BOX 613
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City | NEW YORK
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State | NY
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Zip | 10028-0006
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Country | US
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Telephone | 212-861-3534
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Fax | 212-794-7295
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY M WILKES
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Credential | M.D.
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Telephone | 212-861-3534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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