NPI 1003073545

Amanda Moberg Wilson, MD

Practitioner Psychiatry Physician New York, NY

Practice location

Address: 21 W 86th St Suite 209, New York, NY 10024-3671
Phone: (917) 715-2886
Mailing address: 1160 5th Ave # 407, New York, NY 10029-6928

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence DO NOT HAVE ONE-PGY1 (NY)

Other Psychiatry & Neurology providers in New York →

Registry record

NPI: 1003073545
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2008
Record last updated: 15 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.