Individual
MR. CLAUDE A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 FLEET WALK, BROOKLYN, NY 11201-3192
(171) 859-6639
Mailing address
31 FLEET WALK, BROOKLYN, NY 11201-3192
(171) 859-6639
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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