Individual
DR. STEPHEN A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D CPMR
Contact information
Practice address
9314 QUEENS BLVD, REGO PARK, NY 11374-1135
(718) 830-2700
(718) 830-3257
Mailing address
9314 QUEENS BLVD, REGO PARK, NY 11374-1135
(718) 830-2700
(718) 830-3257
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
181294
NY
Other
Enumeration date
02/16/2007
Last updated
07/09/2007
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