SIDNEY RODOLFO WILSON

FLUSHING, NY
NPI1861439523
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  006481)
Enumeration Date2006-06-01
Last Update Date2010-05-04
Business Address
-- SIDNEY RODOLFO WILSON PA12
4115 162ND ST
FLUSHING, NY 11358-4124
Phone number: 718-762-6640
Mailing Address
-- SIDNEY RODOLFO WILSON PA12
448 E 45TH ST
BROOKLYN, NY 11203-4120
Phone number: 718-287-5450
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