Provider Demographics
NPI:1992017446
Name:WIMPFHEIMER, MIRIAM JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:JANE
Last Name:WIMPFHEIMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 S END AVE
Mailing Address - Street 2:APT. 28J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1026
Mailing Address - Country:US
Mailing Address - Phone:212-488-8752
Mailing Address - Fax:
Practice Address - Street 1:395 S END AVE
Practice Address - Street 2:APT. 28J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10280-1026
Practice Address - Country:US
Practice Address - Phone:212-488-8752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161312-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine