National Provider Identifier

Mary Claire Wise, M.D.

Mary Claire Wise, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 334-8020.

NPI 1730190570Rochester, NYFamily Medicine Physician

Profile Overview

NPI
1730190570
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
August 10, 2006
Last Updated
March 15, 2011

Practice Location

  • 4138 W Henrietta RD
  • Rochester, NY 14623-5224

Phone: (585) 334-8020

Mailing Address

  • 4238 W Henrietta RD
  • Rochester, NY 14623

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1730190570
Entity Type
Individual
Last Name
Wise
First Name
Mary
Middle Name
Claire
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
4238 W Henrietta RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623
Mailing Country
US
Mailing Phone
(585) 334-8020
Mailing Fax
(585) 334-8034
Practice Street Address
4138 W Henrietta RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-5224
Practice Country
US
Practice Phone
(585) 334-8020
Practice Fax
(585) 334-8034
Enumeration Date
August 10, 2006
Last Updated
March 15, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)