Individual
MS. BONNIE ELIZABETH WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
347 E 37TH ST, FLOOR 2, NEW YORK, NY 10016-3217
(212) 726-7400
Mailing address
7607 JFK BLVD E, NORTH BERGEN, NJ 07047-6931
(201) 887-3404
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306883-1
NY
Other
Enumeration date
02/21/2014
Last updated
11/30/2014
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