Edward Wiedemann
NPI #1265013197 in Old Bethpage, New York
Provider Information
- NPI Number
- 1265013197
- Entity Type
- Individual
- Name
- Edward Wiedemann
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Apr 21, 2021
- Last Updated
- Apr 21, 2021
Practice Location
- Address
- 191 BETHPAGE SWEET HOLLOW RD
- City
- Old Bethpage
- State
- New York
- ZIP Code
- 11804-1342
- Phone
- (516) 870-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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