Individual
MRS. AUGUSTA MAUREEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
788 E 37TH ST, BROOKLYN, NY 11210-1928
(917) 325-1774
Mailing address
788 E 37TH ST, BROOKLYN, NY 11210-1928
(917) 325-1774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
559656
NY
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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