Provider Demographics
NPI:1841303906
Name:WING, JAMES A (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:WING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6511 SPRING BROOK AVE
Mailing Address - Street 2:SUIE 101
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-3709
Mailing Address - Country:US
Mailing Address - Phone:845-871-4275
Mailing Address - Fax:845-871-4362
Practice Address - Street 1:6511 SPRING BROOK AVE
Practice Address - Street 2:SUIE 101
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-3709
Practice Address - Country:US
Practice Address - Phone:845-871-4275
Practice Address - Fax:845-871-4362
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2014-06-27
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Provider Licenses
StateLicense IDTaxonomies
NY141836208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01390207Medicaid
C05700Medicare UPIN
NY01390207Medicaid