Individual
DR. JESSICA WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
276 1ST ST APT 1K, MINEOLA, NY 11501-2366
(516) 750-5851
Mailing address
276 1ST ST APT 1K, MINEOLA, NY 11501-2366
(516) 750-5851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
259448-1
NY
207RG0100X
Gastroenterology Physician
Primary
259448
NY
Other
Enumeration date
10/04/2010
Last updated
12/20/2021
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