Individual
DR. JERRY WISHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
503 GRASSLANDS RD, SUITE 107, VALHALLA, NY 10595-1503
(914) 763-1140
(914) 763-1140
Mailing address
44 GILBERT ST, SOUTH SALEM, NY 10590-1339
(914) 763-1140
(914) 763-1140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012022-1
NY
Other
Enumeration date
04/11/2007
Last updated
04/03/2015
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