Organization
MARY WILSON PHYSICIAN PC
Active
Other names
Mary Wilson MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY WILSON (MEDICAL DIRECTOR)
(212) 439-1958
Entity
Organization
Contact information
Practice address
14 E 69TH STREET., MEDICAL OFFICE, NEW YORK, NY 10021-4964
(212) 439-1958
(212) 439-6718
Mailing address
14 E 69TH STREET., MEDICAL OFFICE, NEW YORK, NY 10021-4964
(212) 439-1958
(212) 439-6718
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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