Individual
DR. DAVID ROSS WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
17 SONGSPARROW LN, CENTEREACH, NY 11720-4323
(163) 198-1260
(163) 198-1260
Mailing address
17 SONGSPARROW LN, CENTEREACH, NY 11720-4323
(163) 198-1260
(163) 198-1260
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000673
NY
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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