Individual provider · Type 1 NPI

Stephen Charles Wisely, PA-C

Physician Assistant · New York, NY

NPI number 1336532415 Active

Practice location

1275 York Ave # A348
New York, NY 10065-6007

Other practice locations

  • 111 E 210th St, Bronx, NY 10467-2401 · (718) 920-4321

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X018529 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336532415

Stephen Charles Wisely, PA-C's National Provider Identifier is 1336532415, issued on Mar 12, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Sep 15, 2020.