Individual
MARK WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 E 60TH ST FL 5, NEW YORK, NY 10022-1506
(914) 787-1035
Mailing address
867 HURON RD, FRANKLIN LAKES, NJ 07417-2213
(201) 310-6710
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
310829
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2017
Last updated
10/31/2022
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