Wiznia, Andrew Alan

Wiznia, Andrew Alan is an sole proprietor health care provider with primary practice located at 1400 Pelham Pkwy S Jacp-5C-15, Bronx NY 10461-1138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as his primary health care specialty. Wiznia, Andrew Alan can be contacted via phone (718) 918-4664.

Contact Information

Primary practice address
1400 Pelham Pkwy S Jacp-5C-15 Bronx NY 10461-1138
Fax: (718) 918-4699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 150295 New York

Profile Details

NPI number 1710054861
LBN Legal business name Wiznia, Andrew Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710054861 NPPES
New York MEDICAID 01107946

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