JONATHAN SOLOMON WISE

LAWRENCE, NY
NPI1235436031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  020517)
Enumeration Date2011-02-15
Last Update Date2015-12-22
Business Address
-- JONATHAN SOLOMON WISE
360 CENTRAL AVE APT 228
LAWRENCE, NY 11559-1695
Phone number: 646-942-7018
Mailing Address
-- JONATHAN SOLOMON WISE
301 SULLIVAN PL APT 5K
BROOKLYN, NY 11225-2965
Phone number: 646-942-7018
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