Individual
MATILDA WISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1305 YORK AVE, NEW YORK, NY 10021-5663
(646) 962-2231
Mailing address
1305 YORK AVE, NEW YORK, NY 10021-5663
(646) 962-2231
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1886-1
NY
Other
Enumeration date
11/28/2006
Last updated
11/18/2024
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