Individual
DR. GREGORY S WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 BEDFORD RD, CAREMOUNT MEDICAL, PC, KATONAH, NY 10536-2115
(914) 241-1050
(914) 232-7588
Mailing address
110 N BEDFORD RD, CAREMOUNT MEDICAL, PC, MOUNT KISCO, NY 10549
(914) 241-1050
(914) 232-7588
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
201012
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01873656
—
NY
Enumeration date
07/28/2005
Last updated
10/19/2016
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