Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
KRISTIN WISNIER
Active
Individual
KRISTIN WISNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
605644051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00246812DCC
BHSC
NY
Enumeration date
03/19/2015
Last updated
03/19/2015
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