Individual
DMITRI WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
110 E 58TH ST, 10TH FL, NEW YORK, NY 10022
(212) 434-4650
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352193-01
NY
Other
Enumeration date
07/24/2023
Last updated
12/01/2023
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