Jordan Field Wicker, M.D. Valid NPI

Individual provider · Anesthesiology Physician · Manhasset, NY

NPI

1255656377

Type

Individual (Type 1)

Primary specialty

Anesthesiology Physician (Anesthesiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207L00000X

License number

262507 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2010-03-31

Last updated

2024-09-05