IndividualActive
Jerry Wider, M.D.
NPI 1447360615 · Obstetrics Physician · Smithtown, NY
Provider details
- NPI number
- 1447360615
- Entity type
- Individual
- Primary specialty
- Obstetrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 092304 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
48 Route 25a
Suite 207
Smithtown, NY 11787-1431
Phone: (631) 862-3800
Approximate (ZIP-level) locationGet directions
Mailing address
22 Waterville Rd
Avon, CT 06001-2066
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.