Provider Demographics
NPI:1982184800
Name:WISNIEWSKI, ALLISON PAIGE (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:PAIGE
Last Name:WISNIEWSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 E 70TH ST APT 16D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5344
Mailing Address - Country:US
Mailing Address - Phone:262-865-0272
Mailing Address - Fax:
Practice Address - Street 1:245 E 50TH ST # 7752
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7752
Practice Address - Country:US
Practice Address - Phone:212-593-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1031121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice