Individual
DANA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 ESSEX ST, NEW YORK, NY 10002-2301
(212) 477-1120
(212) 477-8957
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
595297
CA
363L00000X
Nurse Practitioner
Primary
F343714
NY
Other
Enumeration date
08/22/2018
Last updated
10/11/2018
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