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Individual

MR. AILEE WISCOVITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S. ED.SPED

Contact information

Practice address
1820 CORNELIA ST, RIDGEWOOD, NY 11385-4900
(347) 445-0559
Mailing address
1820 CORNELIA ST, RIDGEWOOD, NY 11385-4900
(347) 445-0559

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
12/21/2017
Last updated
12/21/2017
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