Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIDNEY RODOLFO WILSON, PA12
Active Sole ProprietorSIDNEY RODOLFO WILSON, PA12 is a Medical Physician Assistant healthcare provider located in FLUSHING, New York. NPI 1861439523 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FLUSHING, NY
Registration Details
- NPI Number
- 1861439523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2006 (20.168949017477 yrs)
- Last Updated
- May 4, 2010
- License
-
006481 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4115 162ND STFLUSHING, NY, 113584124Browse NY providers · Browse ZIP 11358
- Phone
- 7187626640
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FLUSHING, NY
| Name | Credential | NPI |
|---|---|---|
| RONALD S. ELBAZ | PA | 1184699217 |
| JIANAN QIAO | PA | 1144260530 |
| HAROLD CHARLES | PA | 1861566481 |
| MR. FRANK B LEE | PHYSICIAN ASSISTANT | 1508928177 |
| MRS. VEDWATTI DINDIAL-GAFFOOR | PHYSICIAN ASSISTANT | 1972636520 |
| SVETLANA INOYATOVA | PA-C | 1124229471 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.