Individual
DR. BARBARA JEAN WILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
181 SMITHTOWN BLVD, SUITE 101, NESCONSET, NY 11767-1875
(631) 979-0091
Mailing address
181 SMITHTOWN BLVD, SUITE 101, NESCONSET, NY 11767-1875
(631) 979-0091
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
172814-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01346574
—
NY
Enumeration date
10/15/2006
Last updated
07/08/2007
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