Individual provider · Type 1 NPI

Maryam Wiseman, P.T.

Specialist · Great Neck, NY

NPI number 1801096524 Active

About NPI 1801096524

Maryam Wiseman, P.T.'s National Provider Identifier is 1801096524, issued on Jul 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Great Neck, NY. The record was last updated on Aug 27, 2012.