Individual
BURTON JUDAH WISOTSKY
Active
Individual
BURTON JUDAH WISOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
1869411
NY
207W00000X
Ophthalmology Physician
Primary
25MA06274100
NJ
207WX0107X
Retina Specialist (Ophthalmology) Physician
186941-1
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
25MA06274100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01634931
—
NY
05
—
6675905
—
NJ
01
—
7871714QHY
MEDICARE
NY
01
—
BW073T7610
NY CARE
NY
Enumeration date
10/31/2005
Last updated
03/30/2017
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