Individual
GILBERT WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7742
Mailing address
953 49TH ST, BROOKLYN, NY 11219-2923
(718) 283-7742
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
083291
NY
Other
Enumeration date
01/18/2006
Last updated
12/19/2011
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