MEDICARE: ARMAND EUGENE WILHELM

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	207L00000X	Anesthesiology Physician	269865	NY

General Provider Information

NPI Number	:	1669616025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMAND EUGENE WILHELM

Provider Business Mailing Address
First Line	:	114 CLINTON ST APT 5E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4240
Country	:	US
Telephone Number	:	281-923-3264
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 CLINTON ST APT 5E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4240
Country	:	US
Telephone Number	:	281-923-3264
Fax Number	:

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

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	11/01/2023

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