Individual
ALEXANDER LEWIS WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8315 LEFFERTS BLVD APT 5B, KEW GARDENS, NY 11415-2536
(617) 519-3608
Mailing address
8315 LEFFERTS BLVD APT 5B, KEW GARDENS, NY 11415-2536
(617) 519-3608
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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