Organization
ES-HAGH WISEMAN MD PC
Active
Parent organization
ES-HAGH WISEMAN MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ES-HAGH WISEMAN MD PC
Authorized official
DR. ES-HAGH WISEMAN MD PC (DOCTOR)
(718) 268-7246
Entity
Organization
Contact information
Practice address
21 CARY RD, GREAT NECK, NY 11021-1517
(516) 946-8333
Mailing address
21 CARY RD, GREAT NECK, NY 11021-1517
(516) 946-8333
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
137450
NY
225100000X
Physical Therapist
0158541
NY
Other
Enumeration date
07/29/2007
Last updated
08/27/2012
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