SearchNew York164W00000X

Mateakka Wilson

NPI 1639003627 · on the registry since 2026 · sole proprietor

Practice

Address
67 Long Wood Dr
Rochester, NY 14612
Phone
(585) 520-2575

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-12

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