Provider Demographics
NPI:1427184852
Name:WOJCIK, JOSEPH S (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:WOJCIK
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 1:525 BRONXVILLE ROAD
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10708-1137
Mailing Address - Country:US
Mailing Address - Phone:914-793-6161
Mailing Address - Fax:
Practice Address - Street 1:525 BRONXVILLE ROAD
Practice Address - Street 2:SUITE 1G
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10708-1137
Practice Address - Country:US
Practice Address - Phone:914-793-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY084947207KA0200X, 207KI0005X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00304967Medicaid
NY00304967Medicaid