Individual
JACK WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 68TH ST STE 140, NEW YORK, NY 10065-4870
(212) 746-5709
Mailing address
401 PARNASSUS AVE # 984, SAN FRANCISCO, CA 94143-2211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
309248
NY
2084P0800X
Psychiatry Physician
A165802
CA
Other
Enumeration date
03/23/2018
Last updated
06/24/2024
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