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Individual

MS. SHARIFA K WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4805
Mailing address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4805

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
843874
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
843874
NY

Other

Enumeration date
05/07/2024
Last updated
05/07/2024
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