Individual
DR. HEATHER L WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
143 WEISSMAN RD, LIVINGSTON MANOR, NY 12758
(454) 822-2788
Mailing address
PO BOX 363, CALLICOON CENTER, NY 12724-0363
(402) 740-5658
(843) 419-7067
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
305389
NY
207L00000X
Anesthesiology Physician
H0075216
MD
207Q00000X
Family Medicine Physician
305389
NY
208D00000X
General Practice Physician
1045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548211006
NPI
—
Enumeration date
05/12/2006
Last updated
06/27/2023
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