Individual
HAYLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 WYTHE AVE, BROOKLYN, NY 11249-3364
(332) 877-9883
Mailing address
93 BERRY ST APT 3, BROOKLYN, NY 11249-2803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
312245
NY
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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