Individual
BERNADETTE HYACINTH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 E 13TH ST, NEW YORK, NY 10009-3615
(212) 674-5280
Mailing address
904 TROY AVE, BROOKLYN, NY 11203-4116
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
272206
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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