John Wahl

NPI 1154865681 · on the registry since 2016 · sole proprietor

Practice

Address: 977 Fox St.
Is 217
Bronx, NY 10459
Phone: (718) 589-4844
Fax: (718) 589-4844
Organisation at this address: Mmc At Is 216 And 217/Rafael Hernandez Middle School
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York