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Individual

HALEY WILT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
160 E 53RD ST, NEW YORK, NY 10022-5243
(212) 610-0344
(929) 321-1050
Mailing address
2112 29TH ST, ASTORIA, NY 11105-2919

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
926783
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
926783
RN
NY
Enumeration date
02/12/2026
Last updated
02/12/2026
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