ELLIE WIESE
Physician Assistant
Active
Individual
NPI: 1386332401
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1386332401 is the National Provider Identifier for ELLIE WIESE, a Physician Assistant provider located in Staten Island, NY. This NPI was enumerated on April 26, 2023.
ELLIE WIESE practices at 1 CAMPUS RD, Staten Island, NY 10301.
Quick Facts
- NPI
- 1386332401
- Type
- Individual
- Enumerated
- Apr 26, 2023
- Last Updated
- Apr 26, 2023
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