Individual
MR. ADAM WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MENTOR
Contact information
Practice address
501 SOUTHERN BLVD, BRONX, NY 10455-4609
(917) 485-7600
Mailing address
501 SOUTHERN BLVD, BRONX, NY 10455-4609
(917) 485-7600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/27/2021
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