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1245344548
MICHELLE WISNIEWSKI
NEW YORK, NY
NPI
1245344548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010687)
Enumeration Date
2006-08-17
Last Update Date
2013-07-30
Business Address
-- MICHELLE WISNIEWSKI PA
205 E 64TH ST
NEW YORK, NY 10065-6635
Phone number: 646-449-1021
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Mailing Address
-- MICHELLE WISNIEWSKI PA
62 S OLMSTEAD LN
RIDGEFIELD, CT 06877-5529
Phone number:
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