Sidney Rodolfo Wilson in Flushing - Medical

Sidney Rodolfo Wilson - NPI 1861439523

Sidney Rodolfo Wilson is a Medical in Flushing, New York. Sidney Rodolfo Wilson practices all healthcare services and medical treatments related to Medical. The NPI Number for Sidney Rodolfo Wilson is 1861439523. The last update date is 2010-05-04.

Sidney Rodolfo Wilson's current location address is 4115 162nd St, Flushing, New York. You can contact this provider via phone number 7187626640. The mailing address for Sidney Rodolfo Wilson is 4115 162nd St, Flushing, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Sidney Rodolfo Wilson
Address 4115 162nd St, Flushing, New York
Phone Number 7187626640
Fax Number
Sole Proprietor Y
Credentials PA12

NPI Number Detail

NPI Number 1861439523
Provider Enumeration Date 2006-06-01
Last Updated Date 2010-05-04

Provider Mailing Address Detail

Address 4115 162nd St
City Flushing
State New York (NY)
Post Code 113584124
Phone Number 7187626640
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 6481
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Sidney Rodolfo Wilson

What is the unique 10-digit identification code issued to Sidney Rodolfo Wilson by the Centers for Medicare & Medicaid Services?

The Sidney Rodolfo Wilson has been assigned the NPI (National Provider Identifier) 1861439523 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Sidney Rodolfo Wilson?

The Sidney Rodolfo Wilson is physically situated at 4115 162Nd St, in the city of Flushing, state of NY, with the postal code 113584124.

What is the Sidney Rodolfo Wilson's specialty and taxonomy code?

The Sidney Rodolfo Wilson's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

When was the Sidney Rodolfo Wilson's 1861439523 issued?

The Sidney Rodolfo Wilson's 1861439523 was issued on 2006-06-01.

As of what date was the information pertaining to Sidney Rodolfo Wilson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sidney Rodolfo Wilson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-05-04.

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