Wilson, Nastassja

Wilson, Nastassja is an individual health care provider with primary practice located at 558 Beach 65Th St , Arverne NY 11692-1329. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Nastassja can be contacted via phone (347) 204-2034.

Contact Information

Primary practice address
558 Beach 65Th St Arverne NY 11692-1329
Phone: (347) 204-2034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1518577519
LBN Legal business name Wilson, Nastassja
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2020
Last updated Aug 4th, 2020 - about 4 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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