Individual provider · Type 1 NPI

Kyle Raynor Wicomb

Internal Medicine Physician · Elmhurst, NY

NPI number 1558865147 Active

Practice location

7901 Broadway # A1-16
Elmhurst, NY 11373-1329

Mailing address

2016 N 10th St Apt 3
El Centro, CA 92243-4462

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XA176702 (CA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1558865147

Kyle Raynor Wicomb's National Provider Identifier is 1558865147, issued on Mar 20, 2018. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Elmhurst, NY. The record was last updated on Jan 30, 2023.