National Provider Identifier
Deena Marie Wisa, MD
Deena Marie Wisa, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 602-0100.
Profile Overview
- NPI
- 1558821496
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 25, 2019
- Last Updated
- August 11, 2023
Practice Location
- 60 Greece Center Dr Ste 4
- Rochester, NY 14612-1358
Phone: (585) 602-0100
Mailing Address
- 12 N Shore Dr
- Hilton, NY 14468-8802
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1558821496
- Entity Type
- Individual
- Last Name
- Wisa
- First Name
- Deena
- Middle Name
- Marie
- Credential
- MD
- Mailing Street Address
- 12 N Shore Dr
- Mailing City
- Hilton
- Mailing State
- NY
- Mailing ZIP Code
- 14468-8802
- Mailing Country
- US
- Mailing Phone
- (585) 261-0677
- Practice Street Address
- 60 Greece Center Dr Ste 4
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-1358
- Practice Country
- US
- Practice Phone
- (585) 602-0100
- Practice Fax
- (585) 453-9240
- Enumeration Date
- March 25, 2019
- Last Updated
- August 11, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)