Individual provider · Type 1 NPI
Althea Neressa Wilson, PA-C
Surgical Physician Assistant · Brooklyn, NY
NPI number
1003847773
Active
Practice location
506 6th St
Brooklyn, NY 11215-3609
Mailing address
2160 Holland Ave Apt E8
Bronx, NY 10462-1730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 009767 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1003847773
Althea Neressa Wilson, PA-C's National Provider Identifier is 1003847773, issued on Jul 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.