Individual
ABIGAIL JANE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PARK AVE RM 1600, NEW YORK, NY 10017-5538
(347) 229-6356
Mailing address
100 PARK AVE, NEW YORK, NY 10017-5516
(347) 229-6356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004673
NY
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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