Individual
JOSEPH PAUL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4425 OLD RIDGE RD, WILLIAMSON, NY 14589-9363
(585) 626-6858
Mailing address
4425 OLD RIDGE RD, WILLIAMSON, NY 14589-9363
(585) 626-6858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012549-1
NY
Other
Enumeration date
09/16/2014
Last updated
02/10/2015
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