Dylan Wild

Physician Assistant · Riverhead, NY

Individual Active NPI

NPI number 1568210029

Practice location

1 Heroes Way
Riverhead, NY 11901-2054
Phone
(631) 548-6000

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NPI record

NPI
1568210029
Entity type
Individual (Type 1)
Enumeration date
May 9, 2024
Last updated
May 9, 2024
Certified
May 9, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

About Dylan Wild

Dylan Wild is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1 Heroes Way, Riverhead, NY 11901-2054. The NPI number 1568210029 was assigned on May 9, 2024 and the record was last updated on May 9, 2024.

Frequently asked questions

What is the NPI number of Dylan Wild?

The NPI number is 1568210029.

What is the phone number of Dylan Wild?

The phone number listed for the practice location is (631) 548-6000.

Where is Dylan Wild located?

1 Heroes Way, Riverhead, NY 11901-2054.

What is the taxonomy code for Dylan Wild?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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