Individual
ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(212) 694-9200
Mailing address
243 SUYDAM ST APT 2L, BROOKLYN, NY 11237-3169
(240) 427-8934
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
15462
NY
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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