National Provider Identifier
Susan Jessica Wiener, MD
Susan Jessica Wiener, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 275-5823.
Profile Overview
- NPI
- 1942737291
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- May 17, 2017
- Last Updated
- July 13, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-5823
Mailing Address
- 601 Elmwood Ave Box 704
- Rochester, NY 14642-0001
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1942737291
- Entity Type
- Individual
- Last Name
- Wiener
- First Name
- Susan
- Middle Name
- Jessica
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave Box 704
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5823
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-5823
- Enumeration Date
- May 17, 2017
- Last Updated
- July 13, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)