National Provider Identifier
Irene Wilson
Irene Wilson is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (158) 546-7223.
Profile Overview
- NPI
- 1588430086
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- November 27, 2023
- Last Updated
- November 27, 2023
Practice Location
- 72 Hinchey RD
- Rochester, NY 14624-2930
Phone: (158) 546-7223
Mailing Address
- 69 Appleton St
- Rochester, NY 14611-2509
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1588430086
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Irene
- Mailing Street Address
- 69 Appleton St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-2509
- Mailing Country
- US
- Practice Street Address
- 72 Hinchey RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-2930
- Practice Country
- US
- Practice Phone
- (158) 546-7223
- Enumeration Date
- November 27, 2023
- Last Updated
- November 27, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)