Individual
AMINA C WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 WESTCHESTER AVE STE 102, BRONX, NY 10461-3585
(718) 597-5558
Mailing address
1059 CLAY AVE, APT 2, BRONX, NY 10456-5928
(917) 273-7163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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