Individual
AMY ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 342-6917
Mailing address
3119 33RD ST APT 11, ASTORIA, NY 11106-2013
(973) 809-9985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352460-01
NY
Other
Enumeration date
08/01/2023
Last updated
12/17/2025
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