# ES-HAGH WISEMAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ES-HAGH WISEMAN MD PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184814899
- **Legal business name:** ES-HAGH WISEMAN MD PC
- **Authorized official:** DR. ES-HAGH WISEMAN MD PC (DOCTOR)
- **Authorized official phone:** (718) 268-7246

## Contact information

- **Practice address:** 21 CARY RD, GREAT NECK, NY 11021-1517
- **Practice address phone:** (516) 946-8333
- **Mailing address:** 21 CARY RD, GREAT NECK, NY 11021-1517
- **Mailing address phone:** (516) 946-8333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 137450 | NY | Yes |
| 225100000X | Physical Therapist | 0158541 | NY | — |

## Other

- **Enumeration date:** 07/29/2007
- **Last updated:** 08/27/2012