Carrie Wilson

NPI 1942563440 · on the registry since 2012 · sole proprietor

Practice

Address: 1062 State Route 38
Owego, NY 13827
Phone: (607) 687-8611
Fax: (607) 223-7065
Organisation at this address: Tioga County
Tioga County
Tioga County
Tioga County
Tioga County
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 67

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York