Individual
BENJAMIN WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, CNOR, RNFA
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Mailing address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
618834
NY
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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