Dr. Susan Wisniewski, MD
Internal Medicine in Staten Island, NY. Individual provider (NPI-1).
NPI number1629047675
StatusActive
Last updated in NPPESDec 1, 2008
Details
- NPI
- 1629047675
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Wisniewski
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2006
- Last updated
- Dec 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 222866 | NY | Yes |
Practice location
1110 South AveSuite 306
Staten Island, NY 10314-3403
Phone 718-370-7100 · Fax 718-370-7141
Mailing address
1110 South AveSuite 306
Staten Island, NY 10314-3403
Phone 718-370-7100 · Fax 718-370-7141
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