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NPI Code Detail

MEDICARE: OLAYINKA O WILHELM MD

MEDICARE: OLAYINKA O WILHELM MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician234909NY
2207R00000XInternal Medicine Physician234909NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134117138
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLAYINKA O WILHELM MD
Provider Business Mailing Address
First Line : 58 LUSK ST
Second Line :
City : JOHNSON CITY
State : NY
Zip : 13790-2541
Country : US
Telephone Number : 607-763-6293
Fax Number : 607-763-6717
Provider Business Practice Location Address
First Line : 40 ARCH ST
Second Line : DIABETES CENTER - PICCIANO 2
City : JOHNSON CITY
State : NY
Zip : 13790-2102
Country : US
Telephone Number : 607-763-6092
Fax Number : 607-763-6677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 02/16/2010

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Directions to “ OLAYINKA O WILHELM MD” Practice Location

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