Individual
CYNTHIA IRENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL INSTRUCTOR
Contact information
Practice address
8052 ERDMAN RD, LITTLE VALLEY, NY 14755-9721
(716) 397-3475
Mailing address
8052 ERDMAN RD, LITTLE VALLEY, NY 14755-9721
(716) 397-3475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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