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Individual

DEENA MARIE WISA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
60 GREECE CENTER DR STE 4, ROCHESTER, NY 14612-1358
(585) 602-0100
(585) 453-9240
Mailing address
12 N SHORE DR, HILTON, NY 14468-8802
(585) 261-0677

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
320729
NY

Other

Enumeration date
03/25/2019
Last updated
08/11/2023
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