Provider Demographics
NPI:1710304159
Name:WISE-ORINGER, BRITTANY KAITLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:KAITLIN
Last Name:WISE-ORINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRITTANY
Other - Middle Name:KAITLIN
Other - Last Name:WISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:622 W 168TH ST PH 17W307
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-6559
Mailing Address - Fax:212-305-4778
Practice Address - Street 1:622 W 168TH ST PH 17W307
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-6559
Practice Address - Fax:212-305-4778
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288974208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics