Individual
MARYANNE WYSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 COLUMBIA ST, POUGHKEEPSIE, NY 12601-3906
(845) 231-5600
(845) 231-5489
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
188510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02469845
—
NY
Enumeration date
07/15/2006
Last updated
11/23/2016
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