Individual
TERESA ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3961 HILLMAN AVE, MONTEFIORE SCHOOL HEALTH CLINIC, BRONX, NY 10463-3001
(718) 796-3440
Mailing address
3961 HILLMAN AVE, MONTEFIORE SCHOOL HEALTH CLINIC, BRONX, NY 10463-3001
(718) 796-3440
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381413
NY
Other
Enumeration date
02/08/2007
Last updated
06/28/2012
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