Peter M Wildeman's National Provider Identifier (NPI) Details
Peter M Wildeman, LCSW
NPI: 1346420759
Enumeration Date: 2007-11-14
Last updated: 2007-11-14
Sole Proprietor: YES
Status: active
Postal Address: 26 COURT ST, SUITE 410, BROOKLYN, NY
Phone: 516-637-8115
Primary Practice Address: 26 COURT ST, SUITE 410, BROOKLYN, NY
Practice's phone: 516-637-8115