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Individual

MRS. MEGHAN ELISE WILOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5088
(518) 262-5400
Mailing address
43 OLD BIRCH LN, ALBANY, NY 12205-1857
(518) 495-6072

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015198
NY

Other

Enumeration date
10/12/2011
Last updated
07/17/2014
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