Individual
SHARON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROUTE 59, AIRMONT, NY 10901-4927
(845) 369-9701
(845) 369-9704
Mailing address
100 ROUTE 59 STE 117, AIRMONT, NY 10901-4927
(845) 369-9701
(845) 369-9704
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
689953
NY
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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