Provider Demographics
NPI:1073836680
Name:WERNZ, JAMES CARTER (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CARTER
Last Name:WERNZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 RIVERSIDE BLVD
Mailing Address - Street 2:APT 42B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-1001
Mailing Address - Country:US
Mailing Address - Phone:212-724-4688
Mailing Address - Fax:
Practice Address - Street 1:220 RIVERSIDE BLVD
Practice Address - Street 2:APT 42B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10069-1001
Practice Address - Country:US
Practice Address - Phone:212-724-4688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121043207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine