| Doctor Name: | MRS. CATHERINE ANNE WIELAND |
| NPI Number: | 1164673216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F381752 |
| Business Practice Address: | 655 Deer Park Ave Babylon, NY - 117021314 |
| Business Phone Number: | 6313212100 |
| Business Fax Number: | 6313212126 |
| Mailing Address: | 56 Litchfield Ave, BABYLON |
| State: | NY |
| Postal Code: | 117022542 |
| Phone Number: | 6315390936 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2008 |
| NPI Last Update Date: | 10/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | F381752 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |