Wilson, Errol Alexander

Wilson, Errol Alexander is an individual health care provider with primary practice located at 147 Lake St , Newburgh NY 12550-5263. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wilson, Errol Alexander can be contacted via phone (845) 563-8000.

Contact Information

Primary practice address
147 Lake St Newburgh NY 12550-5263
Phone: (845) 563-8000
Fax: (845) 534-2940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 408177 New York

Profile Details

NPI number 1649288978
LBN Legal business name Wilson, Errol Alexander
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 16th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649288978 NPPES
New York MEDICAID 00473038

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