MEDICARE: KEVIN WRIGHT 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
1	207X00000X	Orthopaedic Surgery Physician	214823	NY

General Provider Information

NPI Number	:	1073615696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN WRIGHT M.D.

Provider Business Mailing Address
First Line	:	51 - E 25TH STREET
Second Line	:	6TH
City	:	NEW YORK CITY
State	:	NY
Zip	:	10010
Country	:	US
Telephone Number	:	212-336-0766
Fax Number	:	212-696-0162

Provider Business Practice Location Address
First Line	:	51 - E 25TH STREET
Second Line	:	6TH FLOOR
City	:	NEW YORK CITY
State	:	NY
Zip	:	10010
Country	:	US
Telephone Number	:	212-336-0766
Fax Number	:	212-696-0162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2006
Last Update Date	:	02/16/2017

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