DANIEL MARK WILSON

WEST ISLIP, NY
NPI1316210131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  015362-1)
Enumeration Date2012-02-10
Last Update Date2012-02-22
Business Address
Mr. DANIEL MARK WILSON RPA-C
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4444
Mailing Address
Mr. DANIEL MARK WILSON RPA-C
20 MALLARD RD
LEVITTOWN, NY 11756-4204
Phone number:
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