Individual
ALEXANDER BASIL EDWARD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
131 NY-25A STE 4, ROCKY POINT, NY 11778
(516) 297-1847
Mailing address
27 LIDGE DR, FARMINGVILLE, NY 11738-1648
(631) 891-9613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116438
NY
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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