Provider Demographics
NPI:1659465664
Name:WACHS, JANE Z (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:Z
Last Name:WACHS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:73 MARKET ST
Mailing Address - Street 2:RIDGE HILL
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-7616
Mailing Address - Country:US
Mailing Address - Phone:914-848-8050
Mailing Address - Fax:914-848-8051
Practice Address - Street 1:73 MARKET ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7616
Practice Address - Country:US
Practice Address - Phone:914-848-8050
Practice Address - Fax:914-848-8051
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-11-05
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Provider Licenses
StateLicense IDTaxonomies
NY169027207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01179446Medicaid
NY54F002Medicare PIN
NYE49777Medicare UPIN