Individual
BARBARA RUSSELL WILDFEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 PELHAM PKWY S, BRONX, NY 10461-1100
(718) 730-1004
(718) 892-6469
Mailing address
15 CHESHIRE ST, HUNTINGTON STATION, NY 11746-1214
(631) 549-1933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F-333377-1
NY
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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