DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NIYA WANICH, M.D.

Active Sole Proprietor

DR. NIYA WANICH, M.D. is a Allergy & Immunology healthcare provider located in ENGLEWOOD, New Jersey. NPI 1043402357 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · ENGLEWOOD, NJ

Registration Details

NPI Number
1043402357
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2007 (19.033591672978 yrs)
Last Updated
Oct 6, 2016
Licenses
230693 (NY)
104650 (CA)
Sole Proprietor
Yes

Practice Information

Address
216 ENGLE ST
SUITE 101
ENGLEWOOD, NJ, 076312444
Browse NJ providers · Browse ZIP 07631
Phone
2018169800
Fax
2015671569
Primary Specialty
Allergy & Immunology
207K00000X
Additional Specialty
Allergy & Immunology

Other Allergy & Immunology Providers in ENGLEWOOD, NJ

Name Credential NPI
DR. CAROLYN E GOODSTEIN MD 1932104254
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.