Search › New York › 101YM0800X
Raven Wilson
NPI 1740725050 · on the registry since 2016
Practice
- Address
- 80 Sharron Ave
Plattsburgh, NY 12901 - Phone
- (518) 561-1447
- Fax
- (518) 562-8812
- Organisation at this address
- Conifer Park, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 70
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-12
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