Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lisa Ann Wildenberger, MSSPED

Individual provider Specialist · NPI 1588929749

MS. Lisa Ann Wildenberger, MSSPED is a Specialist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

788 Columbus Ave Apt 11C
New York, NY 10025-5951
Phone: (917) 912-1772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1588929749
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSPED
Sole proprietorYes
NPI enumeratedJuly 12, 2012
Last updated in NPPESJuly 21, 2022

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