Ira Emanuel Wisotzek in Lyons - Clinical
Ira Emanuel Wisotzek - NPI 1013924281
Ira Emanuel Wisotzek is a Clinical in Lyons, New Jersey. Ira Emanuel Wisotzek practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ira Emanuel Wisotzek is 1013924281. The last update date is 2007-07-08.
Ira Emanuel Wisotzek's current location address is 151 Knollcroft Rd, Lyons, New Jersey. You can contact this provider via phone number 9086470180. The mailing address for Ira Emanuel Wisotzek is 151 Knollcroft Rd, Lyons, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ira Emanuel Wisotzek |
|---|---|
| Address | 151 Knollcroft Rd, Lyons, New Jersey |
| Phone Number | 9086470180 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1013924281 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 151 Knollcroft Rd |
|---|---|
| City | Lyons |
| State | New Jersey (NJ) |
| Post Code | 79395001 |
| Phone Number | 9086470180 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 35S100286300 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Ira Emanuel Wisotzek?
The Ira Emanuel Wisotzek has been issued the NPI (National Provider Identifier) 1013924281 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Ira Emanuel Wisotzek is physically located?
The Ira Emanuel Wisotzek is physically situated at the following address: 151 Knollcroft Rd, Lyons, NJ, 79395001.
What is Ira Emanuel Wisotzek's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ira Emanuel Wisotzek is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013924281 to Ira Emanuel Wisotzek?
The Centers for Medicare & Medicaid Services assigned the 1013924281 to Ira Emanuel Wisotzek on 2006-08-01.
As of what date were the details pertaining to Ira Emanuel Wisotzek last refreshed?
The information related to the Ira Emanuel Wisotzek, including its address, specialty, and other relevant details, was last updated on 2007-07-08.