Individual
JERALD D WISHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 S BEDFORD RD, CAREMOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1518
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
178820
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
178820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01624524
—
NY
Enumeration date
05/25/2006
Last updated
09/09/2016
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