Individual
AVIGAIL WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 CONEY ISLAND AVENUE, BROOKLYN, NY 11230-5849
(718) 998-1415
Mailing address
1651 CONEY ISLAND AVENUE, BROOKLYN, NY 11230-5849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
12/30/2020
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