ELLIE WIESE

STATEN ISLAND, NY
NPI1386332401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-04-26
Last Update Date2023-04-26
Business Address
ELLIE WIESE
1 CAMPUS RD
STATEN ISLAND, NY 10301-4479
Phone number: 718-390-3100
Mailing Address
ELLIE WIESE
1 CAMPUS RD
STATEN ISLAND, NY 10301-4479
Phone number: 718-420-4142
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