Individual
BARBARA DUKE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
308 E 175TH ST, BRONX, NY 10457-5804
(718) 960-7600
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7239
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001394
NY
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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