Marie Wang Dwyer, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0048891 Issued in NY

Practice address

95 Grasslands Road
Westchester Medical Center Macy Pavillion
Valhalla, NY 10595

Phone

(914) 493-7676

Fax

(914) 493-1793

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1154517498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS ROAD",
            "address_2": "WESTCHESTER MEDICAL CENTER MACY PAVILLION",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7676",
            "fax_number": "914-493-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS ROAD",
            "address_2": "WESTCHESTER MEDICAL CENTER MACY PAVILLION",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-493-7676",
            "fax_number": "914-493-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG DWYER",
        "first_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0048891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Walker, M.D.
• Colleen Walsh, OTR/L
• Katie Walsh, LCSW
• Ronald P Walsh Jr., M.D.
• Aaron Matthew Walt, MD
• Angela Lois Wang-Negri, MD
• Anke Wang, MD
• Hao Wang, MD, PHD
• Xiaoyang Wang
• Zhihao Wang

• Physician Assistant in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.