Provider Demographics
NPI:1477680817
Name:JOSEPH S WOJCIK MD PC
Entity Type:Organization
Organization Name:JOSEPH S WOJCIK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:WOJCIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-793-6161
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
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?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
No207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWYPYP1Medicare PIN