Organization
WILSON PHYSICAL MEDICINE & REHABILITATION, P.C
Active
Other names
ACCESS SPINE & SPORT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A WILSON M.D (MEDICAL DOCTOR)
(718) 830-2700
Entity
Organization
Contact information
Practice address
9314 QUEENS BLVD, REGO PARK, NY 11374-1135
(718) 830-2700
Mailing address
9314 QUEENS BLVD, REGO PARK, NY 11374-1135
(718) 830-2700
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
A181294
NY
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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