Individual provider · Type 1 NPI

Erica Wisely, PA-C

Medical Physician Assistant · Valhalla, NY

NPI number 1356735856 Active

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Call (914) 493-7000 Map

Mailing address

630 W 168th St
New York, NY 10032-3725

Other practice locations

  • 630 W 168th St, New York, NY 10032-3725 · (212) 305-2862

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X018538 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1356735856

Erica Wisely, PA-C's National Provider Identifier is 1356735856, issued on Mar 23, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Valhalla, NY. The record was last updated on Sep 15, 2020.