Individual
MRS. SUMMER RHIANNON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
31-00 47TH AVENUE STE 3100, LONG ISLAND, NY 11101-3013
(888) 684-2779
Mailing address
31-00 47TH AVENUE SUITE 3100, LONG ISLAND CITY, NY 11101-3013
(888) 684-2779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403012
NY
Other
Enumeration date
08/24/2007
Last updated
11/27/2023
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