| Doctor Name: | DR. SAMUEL T WILMIT |
| NPI Number: | 1700015872 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 087664-1 |
| Business Practice Address: | 266 Woodlands Dr Tuxedo Park, NY - 109874818 |
| Business Phone Number: | 8457538400 |
| Business Fax Number: | |
| Mailing Address: | 266 Woodlands Dr, TUXEDO PARK |
| State: | NY |
| Postal Code: | 109874818 |
| Phone Number: | 8457538400 |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2009 |
| NPI Last Update Date: | 07/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 087664-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |