JOSEPH WILSON

STATEN ISLAND, NY
NPI1558893479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2017-03-30
Last Update Date2017-03-30
Business Address
-- JOSEPH WILSON
273 HEBERTON AVENUE
STATEN ISLAND, NY 10302
Phone number: 718-412-3170
Mailing Address
-- JOSEPH WILSON
273 HEBERTON AVENUE
STATEN ISLAND, NY 10302
Phone number: 718-412-3170
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