Wilson, Sidney Rodolfo

Wilson, Sidney Rodolfo is an sole proprietor health care provider with primary practice located at 4115 162Nd St , Flushing NY 11358-4124. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wilson, Sidney Rodolfo can be contacted via phone (718) 762-6640.

Contact Information

Primary practice address
4115 162Nd St Flushing NY 11358-4124
Phone: (718) 762-6640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006481 New York

Profile Details

NPI number 1861439523
LBN Legal business name Wilson, Sidney Rodolfo
Credentials PA12
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2006
Last updated May 4th, 2010 - about 16 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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