Provider Demographics
NPI:1801050893
Name:WILNER, ADAM JEREMY (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JEREMY
Last Name:WILNER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:519 E 72ND ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4028
Mailing Address - Country:US
Mailing Address - Phone:212-288-1575
Mailing Address - Fax:212-288-7616
Practice Address - Street 1:519 E 72ND ST
Practice Address - Street 2:SUITE 103
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4028
Practice Address - Country:US
Practice Address - Phone:212-288-1575
Practice Address - Fax:212-288-7616
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2016-12-12
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Provider Licenses
StateLicense IDTaxonomies
NY2648132085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1801050893OtherNYU NEURORADIOLOGY