Individual
DR. KAREN E. WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2613 WEST HENRIETTA ROAD, STRONG TIES, ROCHESTER, NY 14623-2327
(585) 279-4900
(585) 461-9504
Mailing address
2613 WEST HENRIETTA ROAD, STRONG TIES, ROCHESTER, NY 14623-2327
(585) 279-4900
(585) 461-9504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
124243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00850555
—
NY
01
—
105591EU
PREFERRED CARE PROVIDER #
NY
01
—
124243
NY STATE MEDICAL LICENSE
NY
01
—
P010124243
EXCELLUS BLUE CROSS
NY
01
—
P030124243
EXCELLUS BLUE CHOICE
NY
Enumeration date
03/15/2006
Last updated
03/07/2023
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