Individual
MR. BRIAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
315 HUDSON ST FL 9, NEW YORK, NY 10013-1036
(212) 366-8342
(212) 366-8069
Mailing address
315 HUDSON ST FL 9, NEW YORK, NY 10013-1036
(212) 366-8342
(212) 366-8069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5189211
NY
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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