IndividualActive
Jerome Wildes, M.D
NPI 1619961539 · Allergy Physician · Howard Beach, NY
Provider details
- NPI number
- 1619961539
- Entity type
- Individual
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- License
- 081878 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9116 158th Ave
Howard Beach, NY 11414-3126
Phone: (718) 835-3454
Fax: (516) 239-3743
Approximate (ZIP-level) locationGet directions
Mailing address
222 Broadway
Lawrence, NY 11559-1502
Registry dates
- Enumerated
- 2005-09-07
- Last updated
- 2021-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.