Anderson Ricardo Wilson in Brooklyn - Physician Assistant
Anderson Ricardo Wilson - NPI 1063626000
Anderson Ricardo Wilson is a Physician Assistant in Brooklyn, New York. Anderson Ricardo Wilson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Anderson Ricardo Wilson is 1063626000. The last update date is 2007-07-08.
Anderson Ricardo Wilson's current location address is 611 E 78th St, Brooklyn, New York. You can contact this provider via phone number 6463449134. The mailing address for Anderson Ricardo Wilson is 611 E 78th St, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anderson Ricardo Wilson |
|---|---|
| Address | 611 E 78th St, Brooklyn, New York |
| Phone Number | 6463449134 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1063626000 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 611 E 78th St |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112363307 |
| Phone Number | 6463449134 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 002708-1 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identification code assigned to Anderson Ricardo Wilson by the Centers for Medicare & Medicaid Services?
The Anderson Ricardo Wilson has been issued the NPI (National Provider Identifier) 1063626000. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Anderson Ricardo Wilson?
The Anderson Ricardo Wilson is situated at 611 E 78Th St, in the city of Brooklyn, state of NY, with the zip code 112363307.
What is the area of specialization for Anderson Ricardo Wilson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anderson Ricardo Wilson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Anderson Ricardo Wilson receive its 1063626000 assignment from the Centers for Medicare & Medicaid Services?
The Anderson Ricardo Wilson was assigned its 1063626000 by the Centers for Medicare & Medicaid Services on 2007-05-09.
As of what date was the information pertaining to Anderson Ricardo Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Anderson Ricardo Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1174529739
Address: 1620 Southridge Dr Ste B, Jefferson City, MO