Ellie Wiese
Ellie Wiese is a Physician Assistant in Staten Island, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1 Campus RdStaten Island, NY 10301-4479
Phone: (718) 390-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1386332401 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 26, 2023 |
| Last updated in NPPES | April 26, 2023 |
| Certification date | April 26, 2023 |
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