Individual
MS. SANDRA B WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
189 WHEATLY ROAD, AHRC NASSAU COUNTY, BROOKVILLE, NY 11545
(516) 686-4400
(516) 686-4425
Mailing address
23 TURKEY LANE, COLD SPRING HARBOR, NY 11724
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400715
NY
Other
Enumeration date
11/27/2006
Last updated
07/30/2007
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