Individual
DR. ELIZABETH ANN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
56 BAY ST, STATEN ISLAND, NY 10301-2563
(718) 981-3366
Mailing address
840 TYSENS LN, STATEN ISLAND, NY 10306-5662
(718) 667-6712
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420246-1
NY
Other
Enumeration date
07/22/2005
Last updated
07/08/2007
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