Tony Wanich, MD
Orthopaedic Surgery, Sports Medicine in New York, NY. Individual provider (NPI-1).
NPI number1477754752
StatusActive
Last updated in NPPESMay 31, 2022
Details
- NPI
- 1477754752
- Entity type
- Individual (NPI-1)
- Name
- Tony Wanich
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2007
- Certification date
- May 31, 2022
- Last updated
- May 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 25MA08680200 | NJ | Yes |
| 207X00000X | Orthopaedic Surgery | 230560 | NY |
Practice location
535 E 70th StNew York, NY 10021-4898
Phone 212-606-1392 · Fax 917-260-4392
Mailing address
535 E 70th StNew York, NY 10021-4898
Phone 212-606-1392
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