Individual provider · Type 1 NPI

Maj L. Wickstrom, MD

Diagnostic Radiology Physician · New York, NY

NPI number 1023075884 Active

Practice location

560 1st Ave
New York, NY 10016-6402

Call (212) 263-0050 Map

Mailing address

24 Stonewall Cir
West Harrison, NY 10604-1117

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X225207 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1023075884

Maj L. Wickstrom, MD's National Provider Identifier is 1023075884, issued on Apr 27, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in New York, NY. The record was last updated on Oct 24, 2011.