Individual
TIMOTHY WIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6400
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
298393
NY
Other
Enumeration date
04/05/2016
Last updated
08/05/2025
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