NPI 1790087526

Adria a Wilson

Practitioner Contractor Apalachin, NY

Practice location

Address: 5880 State Route 434 APT. D-6, Apalachin, NY 13732-2467
Phone: (607) 429-9556

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1790087526
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Nov 2010
Record last updated: 30 Nov 2010

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.