Individual
JENNIFER WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
156 ROUTE 59, SUITE C6, SUFFERN, NY 10901-5005
(845) 369-4200
(201) 661-7297
Mailing address
535 E CRESCENT AVE, C/O HISTOPATHOLOGY SERVICES, LLC, RAMSEY, NJ 07446-2922
(201) 661-7280
(201) 661-7297
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
213470
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02223352
—
NY
Enumeration date
06/16/2006
Last updated
04/22/2013
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