N.P. Nancy C Wilk, NPI 1215952320
Psychiatric/Mental Health Nurse Practitioner in Rochester, NY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1215952320
NPI Entity Type Individual
Provider Name N.P. Nancy C Wilk
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 601 Elmwood Ave, Rochester, NY, US
Provider Mailing Address 601 Elmwood Ave, Box 668, Rochester, NY, US, 146420001
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LP0808X

Taxonomy Name Psychiatric/Mental Health Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 402894
License State NY
Description Definition to come...

Business Address

N.P. Nancy C Wilk
601 Elmwood Ave

Rochester, NY, US

Phone: 585-275-2691

Mailing Address

N.P. Nancy C Wilk
601 Elmwood Ave
Box 668
Rochester, NY, US
ZIP 146420001
Phone: 585-275-0638
Fax: 585-273-3359

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363LW0102X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

F420483 NY No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
02619170 NY MEDICAID 05
NP0496 NY PREFERRED CARE 01
P019420483 NY BLUE CHOICE 01

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NPI Name Taxonomy Address

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Organization

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Crysta Song

Individual

Speech-Language Pathologist

212 Garretson Ave

Staten Island, NY

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