Individual
JUAN P WISNIVESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 EAST 98TH. STREET, 10TH. FLOOR, NEW YORK, NY 10029-6574
(212) 241-2125
(212) 731-5220
Mailing address
1 GUSTAVE LEVY PLACE, BOX 3000, NEW YORK, NY 10029-6574
(212) 987-3100
(212) 731-5220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
203568
NY
207RP1001X
Pulmonary Disease Physician
Primary
203568
NY
Other
Enumeration date
07/13/2006
Last updated
01/27/2014
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