Organization
WILSON MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATISHA COLES CPC (CODER/COMPLIANCE)
(917) 767-9817
Entity
Organization
Contact information
Practice address
2 WILSON PL, MOUNT VERNON, NY 10550-2602
(914) 664-5380
Mailing address
2 WILSON PL, MOUNT VERNON, NY 10550-2602
(914) 664-5380
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
132240
NY
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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