Individual
DR. ANDREW ALAN WIZNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, JACP-5C-15, BRONX, NY 10461-1138
(718) 918-4664
(718) 918-4699
Mailing address
1400 PELHAM PKWY S, JACP-5C-15, BRONX, NY 10461-1138
(718) 918-4664
(718) 918-4699
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
150295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01107946
—
NY
Enumeration date
11/30/2006
Last updated
07/08/2007
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