Individual
HERBERT JAY WISNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32 UNION SQ E FL 7, NEW YORK, NY 10003-3242
(212) 844-2020
Mailing address
235 PARK AVE S, 2ND FLOOR, NEW YORK, NY 10003-1405
(212) 844-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
150650
NY
207W00000X
Ophthalmology Physician
Primary
150650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00970627
—
NY
Enumeration date
11/16/2005
Last updated
01/30/2026
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