Provider Demographics
NPI:1245272616
Name:WIENER, ILONA (MD)
Entity type:Individual
Prefix:
First Name:ILONA
Middle Name:
Last Name:WIENER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-0501
Mailing Address - Country:US
Mailing Address - Phone:212-305-9985
Mailing Address - Fax:212-342-1115
Practice Address - Street 1:COLUMBIA UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:5 COLUMBUS CIRCLE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-342-0964
Practice Address - Fax:212-342-0810
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY179316-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2957897OtherOXFORD INSURANCE
NJ322BX1OtherBLUE CROSS/BLUE SHIELD
NYP2957897OtherOXFORD INSURANCE