Provider Demographics
NPI:1104866680
Name:WEXLER, PATRICIA S (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:S
Last Name:WEXLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:145 E 32ND ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6055
Mailing Address - Country:US
Mailing Address - Phone:212-684-2626
Mailing Address - Fax:212-686-6212
Practice Address - Street 1:145 E 32ND ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6055
Practice Address - Country:US
Practice Address - Phone:212-684-2626
Practice Address - Fax:212-686-6212
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY145596207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB16881Medicare UPIN
NY58D341Medicare ID - Type Unspecified