Ralph Wilson in Sanborn - Addiction (substance Use Disorder)
Ralph Wilson - NPI 1053484196
Ralph Wilson is a Addiction (substance Use Disorder) in Sanborn, New York. Ralph Wilson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Ralph Wilson is 1053484196. The last update date is 2007-07-08.
Ralph Wilson's current location address is 6301 Inducon Dr E, Sanborn, New York. You can contact this provider via phone number 7167312030 and fax number 7167313010. The mailing address for Ralph Wilson is 6301 Inducon Dr E, Sanborn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ralph Wilson |
|---|---|
| Address | 6301 Inducon Dr E, Sanborn, New York |
| Phone Number | 7167312030 |
| Fax Number | 7167313010 |
| Sole Proprietor | N |
| Credentials | CASAC |
NPI Number Detail
| NPI Number | 1053484196 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6301 Inducon Dr E |
|---|---|
| City | Sanborn |
| State | New York (NY) |
| Post Code | 141329014 |
| Phone Number | 7167312030 |
| Fax Number | 7167313010 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 16872 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16872 | NY | CASAC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ralph Wilson?
The Ralph Wilson has been issued the NPI (National Provider Identifier) 1053484196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Ralph Wilson is physically located?
The Ralph Wilson is physically situated at the following address: 6301 Inducon Dr E, Sanborn, NY, 141329014.
What is Ralph Wilson's area of expertise and its corresponding taxonomy classification?
The Ralph Wilson's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1053484196 assigned to Ralph Wilson?
The Ralph Wilson was issued its 1053484196 on 2006-11-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ralph Wilson most recently updated or revised?
The information pertaining to Ralph Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.