Wilson, Nicholas Frederick

Wilson, Nicholas Frederick is an sole proprietor health care provider with primary practice located at 11630 Sutphin Blvd , Jamaica NY 11434-1527. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wilson, Nicholas Frederick can be contacted via phone (718) 322-2500.

Contact Information

Primary practice address
11630 Sutphin Blvd Jamaica NY 11434-1527
Phone: (718) 322-2500
Fax: (718) 322-1881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 20345 New York

Profile Details

NPI number 1306211792
LBN Legal business name Wilson, Nicholas Frederick
Credentials BSW,CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2015
Last updated Dec 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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