Individual
MORRIS F WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1397 FULTON ST, BKLYN, NY 11216
(718) 636-5477
(718) 636-0325
Mailing address
335 E 23RD ST, BROOKLYN, NY 11226-7008
(718) 636-5477
(718) 636-0325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01956298
—
NY
Enumeration date
07/12/2007
Last updated
07/12/2007
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