Beth Anne Wiesendanger, MS

NPI #1174920730 in Point Lookout, New York

Provider Information

NPI Number: 1174920730
Entity Type: Individual
Name: Beth Anne Wiesendanger, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MS
Enumeration Date: Nov 25, 2014
Last Updated: Nov 25, 2014

Practice Location

Address: 139 HEWLETT AVE
Address 2: BOX 500
City: Point Lookout
State: New York
ZIP Code: 11569-3011
Phone: (516) 889-2335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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