Individual
ISABELLA WIPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DRUM RD, STATEN ISLAND, NY 10305-5001
(347) 524-4995
Mailing address
215 DRUM RD, STATEN ISLAND, NY 10305-5001
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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