ROBERT S WIESEN


Address: 150 Longview Ave, White Plains, NY 10605-2314
Phone: 9149939350

ROBERT S WIESEN (NPI# 1689700890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689700890
Entity Type Individual
Full Name ROBERT S WIESEN
Credential M.D.
Practice Address 150 Longview Ave
White Plains
NY 10605-2314
Practice Telephone 9149939350
Practice Fax Number 9149939350
Enumeration Date 2007-02-24
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
120465 NY Allopathic & Osteopathic Physicians

Other Providers ROBERT WIESEN

NPI Name Taxonomy Address Enumeration
1437103678 Robert S Wiesen Internal Medicine 286 E Main St, Somerville, NJ 08876-3006 2006-05-20
1790005320 Robert Michael Wiesen Dentist 1080 Creekwood Trl, Burton, MI 48509-1564 2010-06-05

Office Location

Street Address 150 LONGVIEW AVE
City WHITE PLAINS
State NY
Zip Code 10605-2314

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1811328719 Jamie Winter Psychologist 21 Bloomingdale Road, Rogers Building, Newyork-presbyterian Hospital, White Plains, NY 10605 2013-12-03
1073946075 Joanne Amy Yewdell Occupational Therapist 26 Maplemoor Lane, White Plains, NY 10605 2013-08-13
1295095222 Benjamin Carl Rudow Dentist 280 Mamaroneck Ave Ste 307, White Plains, NY 10605 2012-05-24
1639483811 Joel M Rodriguez Occupational Therapy Assistant 456 North Street, White Plains, NY 10605 2010-07-30
1609189752 Joanne Ruth Pelletier Psychologist 19 Greenridge Avenue, Andrus Children's Center Mental Health Division, White Plains, NY 10605 2010-07-19
1639498736 George Javor Internal Medicine 1 Brentwood Avenue, White Plains, NY 10605 2010-05-28
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

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1689272510 Richter Medical PC Internal Medicine 1 Appaloosa Ln, Millbrook, NY 12545-6051 2020-10-13
1205493533 Bct Medical Services PC Internal Medicine 230 Hilton Ave Ste 106, Hempstead, NY 11550-8116 2019-05-22
1568965309 Lloyd E. Zimmerman Internal Medicine 205 E 95th St Apt 18b, New York, NY 10128-0237 2018-03-16
1962893560 Maple Med Group LLC Internal Medicine 2000 Maple Hill St Ste 101, Yorktown Heights, NY 10598-4122 2015-02-18
1467897058 Komal Amin Internal Medicine 25 Fairfield Way Apt 1, Commack, NY 11725-3414 2013-05-08
1407191364 East End Physician Services PC Internal Medicine 44210 County Rd. 48, Southold, NY 11971 2012-12-04
1982976999 Express Medical Care, P.c Internal Medicine .357 Broadway, Suite 2c, Amityville, NY 11701 2012-02-07
1952610701 Annemarie Bonawitz-dodi Internal Medicine 942 Route 376 Ste 201, Wappingers Falls, NY 12590-6493 2010-09-28
1558561985 Jack Resnik Internal Medicine 480 Genesee Street, Rochester, NY 14611 2007-07-24
1114132701 Joshua David Lee Internal Medicine 423 E.23rd St., Vamc 15th Floor 15156n, New York, NY 10010 2007-05-14
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City WHITE PLAINS
Zip Code 10605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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