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Jennifer Wilde

NPI 1235384710 · on the registry since 2008

Practice

Address
166 Rintin St
Franklin Square, NY 11010
Phone
(516) 528-5914

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York