Provider Demographics
NPI:1154137073
Name:WETCHLER MEDICAL PC
Entity type:Organization
Organization Name:WETCHLER MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:HARPER
Authorized Official - Last Name:WETCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-212-7630
Mailing Address - Street 1:135 CROSSWAYS PARK DR STE LL7
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2008
Mailing Address - Country:US
Mailing Address - Phone:516-212-7630
Mailing Address - Fax:516-200-2482
Practice Address - Street 1:135 CROSSWAYS PARK DR STE LL7
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2008
Practice Address - Country:US
Practice Address - Phone:516-212-7630
Practice Address - Fax:516-200-2482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty