Individual
DR. SHELDON WIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8958
(718) 635-7105
Mailing address
500A GRAND ST APT 4A, NEW YORK, NY 10002-4124
(646) 213-7884
(212) 473-7973
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
101867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02108616
—
NY
Enumeration date
11/25/2005
Last updated
07/08/2007
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