Individual
NATHANIEL WISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 E 86TH ST, OFC 4, NEW YORK, NY 10028-0506
(212) 861-6660
Mailing address
12 E 86TH ST, OFC 4, NEW YORK, NY 10028-0506
(212) 861-6660
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
082711
NY
Other
Enumeration date
07/21/2005
Last updated
05/31/2012
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