Individual
MS. ALISON MAIRE WIESENMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065
(212) 639-7006
Mailing address
1275 YORK AVE, NEW YORK, NY 10065
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430838
NY
Other
Enumeration date
07/15/2014
Last updated
05/09/2017
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