Individual
BRITTANY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(516) 998-5806
Mailing address
7 JOSEPH AVE, BETHPAGE, NY 11714-5103
(516) 998-5806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023284
NY
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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