Individual
ANNE-MARIE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501-4064
(516) 663-6925
(516) 663-4821
Mailing address
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501-4064
(516) 663-6925
(516) 663-4821
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421221
NY
Other
Enumeration date
08/04/2015
Last updated
04/02/2021
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