Individual
WILSON JEAN-LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
2 1ST AVE, ORANGEBURG, NY 10962-1106
(845) 680-4000
Mailing address
2 1ST AVE, ORANGEBURG, NY 10962-1106
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
949917
NY
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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