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Individual

MICHAEL WILSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7266 BUCKLEY RD, NORTH SYRACUSE, NY 13212-2649
(315) 458-0919
(315) 458-0954
Mailing address
7266 BUCKLEY RD, NORTH SYRACUSE, NY 13212-2649
(315) 458-0919
(315) 458-0954

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21224
NY

Other

Enumeration date
04/03/2015
Last updated
04/03/2015
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