Individual
MS. CYNTHIA JANE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3124 LONG BEACH RD, OCEANSIDE, NY 11572-3299
(516) 764-9600
(516) 764-0218
Mailing address
3124 LONG BEACH RD, OCEANSIDE, NY 11572-3299
(516) 764-9600
(516) 764-0218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040742
NY
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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