Individual provider · Type 1 NPI

Janifer P. Wilson, P.A.

Surgical Physician Assistant · Bronx, NY

NPI number 1386762599 Active

Practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Mailing address

501 W 156th St, Apt 21
New York, NY 10032-7702

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X000355-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1386762599

Janifer P. Wilson, P.A.'s National Provider Identifier is 1386762599, issued on Mar 26, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.