Individual
MS. MELISSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9131 QUEENS BLVD, SUITE 604, ELMHURST, NY 11373-5555
(646) 359-1554
Mailing address
794 MIDWOOD ST APT 1D, BROOKLYN, NY 11203-1407
(646) 359-1554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
666763
NY
163WC0400X
Case Management Registered Nurse
Primary
666763
NY
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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