MARY WILSON PHYSICIAN PC NPI 1215161377

NPI Information

MARY WILSON PHYSICIAN PC is a gynecology obstetrics gynecology in New York, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MARY WILSON PHYSICIAN PC NPI is 1215161377. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mary Wilson Md Pc.

The provider's business location address is:

14 E 69TH STREET.
MEDICAL OFFICE
NEW YORK, NY
ZIP 10021-964
Phone: (212) 439-1958
Fax: (212) 439-6718

The provider's authorized official is Mary Wilson .
The authorized official title is Medical Director and has the following contact phone number (212) 439-1958.

The enumeration date for this NPI number is 5/5/2009 and was last updated on 5/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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