Wilson, Mary Jo

Wilson, Mary Jo is an sole proprietor health care provider with primary practice located at 315 W 57Th St Suite 402, New York NY 10019-3158. She recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as her primary health care specialty. Wilson, Mary Jo can be contacted via phone (212) 757-6607.

Contact Information

Primary practice address
315 W 57Th St Suite 402 New York NY 10019-3158
Fax: (212) 757-2932
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 010284 New York

Profile Details

NPI number 1700909538
LBN Legal business name Wilson, Mary Jo
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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