Individual
COLETTE WILSON-SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
492 BERRIMAN ST, BROOKLYN, NY 11208-4414
(917) 417-0264
Mailing address
27 PILOT STREET, NEW AMSTERDAM, BERBICE 11208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
629465-1
NY
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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