Individual
WENDY WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270-05 76 AVENUE, LIJMC DEPT OF MEDICINE & PULMONARY CRITICAL CARE, NEW HYDE PARK, NY 11040
(718) 470-7270
Mailing address
270-05 76 AVENUE, LIJMC DEPT OF MEDICINE & PULMONARY CRITICAL CARE, NEW HYDE PARK, NY 11040
(718) 470-7270
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
214619
NY
207RP1001X
Pulmonary Disease Physician
214619
NY
Other
Enumeration date
03/06/2007
Last updated
04/25/2023
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