Individual
GARY H WISHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7204
Mailing address
83 E GENESEE ST, SKANEATELES, NY 13152-1308
(315) 554-8016
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
173544
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01829881
—
NY
Enumeration date
07/21/2006
Last updated
03/06/2008
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