Individual
ERROL ALEXANDER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
147 LAKE ST, NEWBURGH, NY 12550-5263
(845) 563-8000
(845) 534-2940
Mailing address
2570 ROUTE 9W STE 10, CORNWALL, NY 12518-1370
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
408177
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
Enumeration date
08/03/2006
Last updated
07/16/2019
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