AKISHA WILSON

BRENTWOOD, NY
NPI1861860611
Former NameAKISHA WILSON-PORTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  339950)
Enumeration Date2015-09-10
Last Update Date2023-01-31
Business Address
AKISHA WILSON NP
160 4TH ST
BRENTWOOD, NY 11717-4658
Phone number: 631-273-7105
Mailing Address
AKISHA WILSON NP
160 4TH ST
BRENTWOOD, NY 11717-4658
Phone number: 631-273-7105
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