SIDNEY WILSON, PA12

Physician Assistant - Medical

Active Individual
NPI: 1861439523

Practice Address

4115 162ND ST
Flushing, NY 11358

Phone: (718) 762-6640

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes 006481 (NY)

Frequently Asked Questions

NPI 1861439523 is the National Provider Identifier for SIDNEY WILSON, PA12, a Physician Assistant - Medical provider located in Flushing, NY. This NPI was enumerated on June 1, 2006.
SIDNEY WILSON, PA12 practices at 4115 162ND ST, Flushing, NY 11358.

Quick Facts

NPI
1861439523
Type
Individual
Enumerated
Jun 1, 2006
Last Updated
May 4, 2010

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