Individual
MICHAEL WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
369 E 149TH ST FL 9, BRONX, NY 10455-3906
(718) 401-1111
(718) 401-2723
Mailing address
369 E 149TH ST FL 9, BRONX, NY 10455-3906
(718) 401-1111
(718) 401-2723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012422
NY
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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