Wise, Brent R
Wise, Brent R is an individual health care provider with primary practice located at 314 E 30Th St , New York NY 10016-8303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Wise, Brent R can be contacted via phone (212) 858-9646.Contact Information
Primary practice address
314 E 30Th St
New York NY 10016-8303
Phone: (212) 858-9646
Fax: (646) 661-1793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 199091-1 | New York |
Profile Details
| NPI number | 1194799262 |
|---|---|
| LBN Legal business name | Wise, Brent R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Mar 18th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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