Individual
HELENA MAIKEN WIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
33 W 19TH ST, 4TH FLOOR, NEW YORK, NY 10011-4333
(212) 203-7572
Mailing address
33 W 19TH ST, 4TH FLOOR, NEW YORK, NY 10011-4333
(212) 203-7572
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1108363
NY
Other
Enumeration date
03/11/2015
Last updated
12/12/2016
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