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1336532415
STEPHEN CHARLES WISELY
NEW YORK, NY
NPI
1336532415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018529)
Enumeration Date
2015-03-12
Last Update Date
2020-09-15
Business Address
STEPHEN CHARLES WISELY PA-C
1275 YORK AVE # A348
NEW YORK, NY 10065-6007
Phone number: 212-639-6093
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Mailing Address
STEPHEN CHARLES WISELY PA-C
1275 YORK AVE # A348
NEW YORK, NY 10065-6007
Phone number: 212-639-6093
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