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Organization
WILLIAM ANDREW WILSON MEDICAL DOCTOR, PLLC
Active
Organization
WILLIAM ANDREW WILSON MEDICAL DOCTOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ANDREW WILSON MD (OWNER)
(845) 871-4248
Entity
Organization
Contact information
Practice address
6511 SPRING BROOK AVE, RHINEBECK, NY 12572-3709
(845) 871-3888
(845) 790-3105
Mailing address
215 FORDHAM RD, VALATIE, NY 12184-5312
(845) 871-4248
(845) 883-5323
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
263147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982861217
BCBS
NY
Enumeration date
04/04/2016
Last updated
04/04/2016
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