National Provider Identifier

Cynthia Irene Wilson, SPECIAL INSTRUCTOR

Cynthia Irene Wilson, SPECIAL INSTRUCTOR is listed in the NPPES registry with a primary specialty of Specialist in Little Valley, NY and a listed phone number of (716) 397-3475.

NPI 1669737177Little Valley, NYSpecialist

Profile Overview

NPI
1669737177
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 10, 2012
Last Updated
July 10, 2012

Practice Location

  • 8052 Erdman RD
  • Little Valley, NY 14755-9721

Phone: (716) 397-3475

Specialties

  • Specialist (174400000X)
Full Record
NPI
1669737177
Entity Type
Individual
Last Name
Wilson
First Name
Cynthia
Middle Name
Irene
Credential
SPECIAL INSTRUCTOR
Mailing Street Address
8052 Erdman RD
Mailing City
Little Valley
Mailing State
NY
Mailing ZIP Code
14755-9721
Mailing Country
US
Mailing Phone
(716) 397-3475
Practice Street Address
8052 Erdman RD
Practice City
Little Valley
Practice State
NY
Practice ZIP Code
14755-9721
Practice Country
US
Practice Phone
(716) 397-3475
Enumeration Date
July 10, 2012
Last Updated
July 10, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)