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Stephen Wisely, PA-C
NPI 1336532415 · on the registry since 2015
Practice
- Address
- 1275 York Ave # A348
New York, NY 10065 - Phone
- (212) 639-6093
Additional practice sites
- 111 E 210th St, Bronx, NY
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York