Organization
MEDICAL SERVICES OF NY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT RICHARD WISE MD (PRESIDENT)
(212) 263-7778
Entity
Organization
Contact information
Practice address
530 1ST AVE, SUITE 7G, NEW YORK, NY 10016-6402
(212) 263-7778
(212) 263-3528
Mailing address
PO BOX 194, NEW YORK, NY 10156-0194
(212) 263-7778
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
199091
NY
Other
Enumeration date
06/25/2007
Last updated
07/26/2007
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