National Provider Identifier

Eric Wilson

Eric Wilson is listed in the NPPES registry with a primary specialty of Social Worker in Elmira, NY and a listed phone number of (607) 733-5696.

NPI 1790157824Elmira, NYSocial Worker

Profile Overview

NPI
1790157824
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
October 28, 2015
Last Updated
October 28, 2015

Practice Location

  • 1019 E Water St
  • Elmira, NY 14901-3332

Phone: (607) 733-5696

Mailing Address

  • 59 Smith St
  • Tioga, PA 16946-8611

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1790157824
Entity Type
Individual
Last Name
Wilson
First Name
Eric
Mailing Street Address
59 Smith St
Mailing City
Tioga
Mailing State
PA
Mailing ZIP Code
16946-8611
Mailing Country
US
Practice Street Address
1019 E Water St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3332
Practice Country
US
Practice Phone
(607) 733-5696
Enumeration Date
October 28, 2015
Last Updated
October 28, 2015
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)