OrganizationActive
Isabelle Ponge Wilson MD PC
NPI 1396866281 · Procedural Dermatology Physician · New York, NY
Provider details
- NPI number
- 1396866281
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Isabelle Ponge Wilson, Doctor(212) 679-4134
- License
- 198244 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
50 Park Ave
New York, NY 10016-3075
Phone: (212) 679-4134
Fax: (212) 679-7079
Approximate (ZIP-level) locationGet directions
Mailing address
50 Park Ave
New York, NY 10016-3075
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2013-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.