Individual
MS. KRISTIN MARY WILSON OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1043, NEW YORK, NY 10029-6504
(212) 241-8088
Mailing address
151 E 90TH ST, APT 1G, NEW YORK, NY 10128-2349
(212) 824-7348
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
255936
NY
Other
Enumeration date
06/09/2008
Last updated
07/01/2013
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