Individual
ANGELA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
317 E 34TH ST, 7TH FLOOR, NEW YORK, NY 10016-4974
(212) 726-7432
Mailing address
317 E 34TH ST, 7TH FLOOR, NEW YORK, NY 10016-4974
(212) 726-7432
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
217328
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02286322
—
NY
Enumeration date
07/19/2006
Last updated
10/04/2012
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