# DEBORAH A WILSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Deborah A Wilson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104293406
- **Authorized official:** DEBORAH A WILSON (REGISTERED NURSE)
- **Authorized official phone:** (585) 750-1258

## Contact information

- **Practice address:** 6 DOUD CIR, HILTON, NY 14468-1480
- **Practice address phone:** (585) 750-1258
- **Mailing address:** 6 DOUD CIR, HILTON, NY 14468-1480
- **Mailing address phone:** (585) 750-1258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 597516-1 | NY | Yes |

## Other

- **Enumeration date:** 08/22/2015
- **Last updated:** 08/22/2015