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Individual

JOSEPH WIESEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
142-42 BOOTH MEMORIAL AVENUE, FLUSHING, NY 11355-5342
(718) 353-4004
(718) 353-4240
Mailing address
4401 FRANCIS LEWIS BLVD, SUITE L3A, BAYSIDE, NY 11361-3028
(718) 717-0238
(718) 717-0265

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
150744
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01076728
NY
Enumeration date
07/18/2005
Last updated
04/02/2021
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