Individual
DR. ITAY WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
535 5TH AVE FL 32, NEW YORK, NY 10017-3666
(347) 947-5734
Mailing address
535 5TH AVE FL 32, NEW YORK, NY 10017-3666
(347) 947-5734
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
292197
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2017
Last updated
06/29/2023
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