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1003073545
AMANDA MOBERG WILSON
NEW YORK, NY
NPI
1003073545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY do not have one-PGY1)
Enumeration Date
2008-05-21
Last Update Date
2012-08-15
Business Address
Dr. AMANDA MOBERG WILSON MD
21 W 86TH ST SUITE 209
NEW YORK, NY 10024-3671
Phone number: 917-715-2886
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Mailing Address
Dr. AMANDA MOBERG WILSON MD
1160 5TH AVE # 407
NEW YORK, NY 10029-6928
Phone number: 917-715-2886
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