Individual
WILSON AGUINALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
4422 3RD AVE, BRONX, NY 10457-2594
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F344373-1
NY
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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