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Mrs. Maryam Wiseman, PT
Specialist in Great Neck, New York
NPI 1801096524

Maryam Wiseman is a Specialist based in Great Neck, NY. Maryam Wiseman practices in Great Neck, NY and has the professional credentials of PT. The NPI Number for Maryam Wiseman is 1801096524 and holds a License No. 0158541 (New York).

The current practice location address for Maryam Wiseman is 21 Cary Rd, Great Neck, NY and can be reached out via phone at 516-946-8333.

Location: 21 Cary Rd, Great Neck, NY, 11021-1517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801096524
Provider Name
Maryam Wiseman
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
21 Cary Rd, Great Neck, NY, 11021-1517
Phone Number
516-946-8333
Fax Number
Provider Enumeration Date
07/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265537005 01 GROUP NPI
02284724 05 NY
institution
Provider Business Practice Location Address Details
Address
21 Cary Rd
City
Great Neck
State
New York
Zip
11021-1517
Phone Number
516-946-8333
Fax Number
person
Provider Business Mailing Address Details
Address
21 Cary Rd
City
Great Neck
State
New York
Zip
11021-1517
Phone Number
516-946-8333
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0158541 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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