Provider Demographics
NPI:1518014349
Name:WIEDER, HARRIET E (MD)
Entity Type:Individual
Prefix:
First Name:HARRIET
Middle Name:E
Last Name:WIEDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:22 SAW MILL RIVER RD.
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1549
Mailing Address - Country:US
Mailing Address - Phone:914-593-1678
Mailing Address - Fax:914-593-1790
Practice Address - Street 1:503 GRASSLANDS RD STE 200
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1593
Practice Address - Country:US
Practice Address - Phone:914-304-5250
Practice Address - Fax:914-345-1752
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY162962208000000X, 2080P0006X
CT564002080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics