Individual
JENNIFER WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
689 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7501
(631) 854-4400
(631) 854-4436
Mailing address
689 E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7501
(631) 854-4400
(631) 854-4436
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
6174761
NY
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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