MIA ROSE WISTON

NEW YORK, NY
NPI1518550946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: NY  024084)
Enumeration Date2021-02-17
Last Update Date2021-02-17
Business Address
Dr. MIA ROSE WISTON
270 LAFAYETTE ST STE 702
NEW YORK, NY 10012-3384
Phone number: 914-275-5138
Mailing Address
Dr. MIA ROSE WISTON
150 RIVINGTON ST APT PHC
NEW YORK, NY 10002-5486
Phone number: 914-275-5138