Individual
MARILYN A WYSOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1870 GRAND CONCOURSE, BRONX, NY 10457
(718) 299-5000
Mailing address
210 MCADOO AVE, JERSEY CITY, NJ 07305
(718) 299-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
145601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00843325
—
NY
Enumeration date
09/22/2006
Last updated
07/08/2007
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