KHADIJA WIESE

BROOKLYN, NY
NPI1730514787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2013-09-10
Last Update Date2013-09-10
Business Address
-- KHADIJA WIESE PA-C
374 STOCKHOLM ST
BROOKLYN, NY 11237-4006
Phone number: 718-963-7272
Mailing Address
-- KHADIJA WIESE PA-C
4845 208TH ST
BAYSIDE, NY 11364-1116
Phone number: 917-514-7877