Robert S Wiesen
Internist - Addiction Medicine
150 Longview Ave
White Plains
, New York 10605-2314
Robert S Wiesen
Internist - Addiction Medicine
150 Longview Ave
White Plains
, New York 10605-2314
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Robert S Wiesen
- 150 Longview Ave
- White Plains, NY
- Zip : 10605-2314
- Phone :
Second Address
- Robert S Wiesen
- 150 Longview Ave
- White Plains, NY
- Zip : 10605-2314
- Fax : (914) 993-9350
- Phone : (914) 993-9350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 120465 | NY |
National Provider Identifier
| NPI | 1689700890 |
|---|---|
| Provider Name | Robert S Wiesen |
| First Address | White Plains, NY 10605-2314 |
| Second Address | White Plains, NY 10605-2314 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.