Individual
MS. EVE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 NICOLLS RD, HSC T17-040, STONY BROOK, NY 11794-8172
(631) 444-7790
(631) 444-7502
Mailing address
301 E MAIN ST, HSC T17-040, STONY BROOK, NY 11794-8172
(631) 444-7790
(631) 444-7502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007322
NY
Other
Enumeration date
07/17/2006
Last updated
04/16/2026
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