Individual
SHANAY NICOLE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ROBINSON AVE, GLEN COVE, NY 11542-2929
(516) 510-5833
Mailing address
30 ROBINSON AVE, GLEN COVE, NY 11542-2929
(516) 510-5833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007626
NY
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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