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1265537005
ESHAGH WISEMAN
GREAT NECK, NY
NPI
1265537005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NY 137450)
Enumeration Date
2006-09-14
Last Update Date
2012-08-27
Business Address
Dr. ESHAGH WISEMAN MD
21 CARY RD
GREAT NECK, NY 11021-1517
Phone number: 516-946-8333
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Mailing Address
Dr. ESHAGH WISEMAN MD
21 CARY RD
GREAT NECK, NY 11021-1517
Phone number: 516-946-8333
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