Individual
DR. AUSTIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6118 RIVERDALE AVE, BRONX, NY 10471-1009
(347) 590-9915
(212) 202-6447
Mailing address
203 18TH ST, BROOKLYN, NY 11215-5304
(251) 769-9763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059713-1
NY
Other
Enumeration date
02/24/2016
Last updated
01/16/2019
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