Individual
DR. MATTHEW S WIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 BAINBRIDGE AVE FL 1, BRONX, NY 10467-2404
(718) 920-2020
Mailing address
310 E 14TH ST, NEW YORK, NY 10003-4284
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
302783
NY
Other
Enumeration date
04/02/2016
Last updated
08/18/2020
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