Dr Gloria Diana Wiseman, MD | |
570 Fort Washington Ave, New York, NY 10033-2054 | |
(212) 795-3293 | |
(212) 795-3164 |
Full Name | Dr Gloria Diana Wiseman |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 570 Fort Washington Ave, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821162801 | NPI | - | NPPES |
00848417 | Medicaid | NY | |
5114900 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 151187 (New York) | Primary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MA47936 (New Jersey) | Secondary |
Entity Name | Trustees Of Columbia University In The City Of New York |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
Mailing Address | Practice Location Address |
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Dr Gloria Diana Wiseman, MD 69 Edgemont Place, Teaneck, NJ 07666-4605 Ph: (201) 837-9918 | Dr Gloria Diana Wiseman, MD 570 Fort Washington Ave, New York, NY 10033-2054 Ph: (212) 795-3293 |
Dr. Robert Michael Lembo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave, New York, NY 10016 Phone: 212-263-6425 | |
Dr. Sean Michael Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 1st Ave, Suite 7a, New York, NY 10016 Phone: 212-263-7477 | |
Dr. Diana Trevas Fleisher, Pediatrics Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293 Fax: 212-263-3522 | |
Dr. Rajdeep K Saini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Warren St, New York, NY 10007 Phone: 212-226-7666 Fax: 212-202-7988 | |
Dr. Nooralam Ahmad Rai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3959 Broadway # Chc701, New York, NY 10032 Phone: 212-305-5122 Fax: 212-305-6103 | |
Deborah Valentine Shamsian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 21 W 86th St, New York, NY 10024 Phone: 212-304-5800 | |
Kara Alex-ann Beliard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1468 Madison Ave, New York, NY 10029 Phone: 122-241-6936 |