Individual
DR. IWONA A. RIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, MMC - EMERGENCY MEDICINE, BRONX, NY 10467-2401
(718) 920-5731
Mailing address
931 FAIRWAY LN, MAMARONECK, NY 10543-4326
(914) 698-0903
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
193870
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01454351
—
NY
Enumeration date
04/17/2007
Last updated
07/08/2007
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