Individual
MS. BRITTANY LAUREN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2066 RICHMOND AVE, STATEN ISLAND, NY 10314-3960
(718) 982-9001
Mailing address
2066 RICHMOND AVE, STATEN ISLAND, NY 10314
(718) 982-9001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016342-1
NY
363AM0700X
Medical Physician Assistant
0163421
NY
Other
Enumeration date
03/12/2013
Last updated
07/27/2023
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