Individual
DR. DAVID R WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
160 E 34TH ST, NEW YORK, NY 10016-4744
(212) 731-6366
(212) 731-5527
Mailing address
PO BOX 148, 505 EAST 70TH STREET, NEW YORK, NY 10021-0012
(212) 746-3587
(212) 746-8051
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
270704
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2011
Last updated
11/06/2020
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