Individual provider · Type 1 NPI

Alexis Marie Wilson

Student in an Organized Health Care Education/Training Program · Huntington, NY

NPI number 1376330480 Active

Practice location

790 Park Ave
Huntington, NY 11743-4516

Call (843) 450-5591 Map

Mailing address

11 Sparrow Dr
Coram, NY 11727-2707

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376330480

Alexis Marie Wilson's National Provider Identifier is 1376330480, issued on Apr 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Huntington, NY. The record was last updated on May 15, 2025.