Individual
DR. KINGSLY PHILIPS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S PT
Contact information
Practice address
1110 2ND AVE RM 302, NEW YORK, NY 10022-2021
(312) 646-8041
Mailing address
1110 2ND AVE RM 302, NEW YORK, NY 10022-2021
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
048703
NY
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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