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1073541397
SAMUEL A WILSON
FLUSHING, NY
NPI
1073541397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 183473)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
-- SAMUEL A WILSON MD
5925 KISSENA BLVD
FLUSHING, NY 11355-5547
Phone number: 718-670-6100
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Mailing Address
-- SAMUEL A WILSON MD
1000 ZECKENDORF BLVD
GARDEN CITY, NY 11530-2133
Phone number: 516-542-6880
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