SearchNew York363AM0700X

Sidney Wilson, PA12

NPI 1861439523 · on the registry since 2006 · sole proprietor

Practice

Address
4115 162nd St
Flushing, NY 11358
Phone
(718) 762-6640

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-05-04

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