Individual
ASHTON LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 NOYAC RD, SAG HARBOR, NY 11963
(850) 814-0262
Mailing address
3350 NOYAC RD, SAG HARBOR, NY 11963
(850) 814-0262
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
027411
NY
207N00000X
Dermatology Physician
1790070480
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2021
Last updated
10/13/2021
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