National Provider Identifier

Jared Jay Wilson, DO

Jared Jay Wilson, DO is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Williamsville, NY and a listed phone number of (166) 321-0887.

NPI 1992382790Williamsville, NYAnesthesiology Physician

Profile Overview

NPI
1992382790
Provider Type
Individual
Primary Specialty
Anesthesiology Physician
Enumeration Date
March 26, 2021
Last Updated
July 08, 2025

Practice Location

  • 30 S Cayuga RD
  • Williamsville, NY 14221-6728

Phone: (166) 321-0887

Specialties

  • Anesthesiology Physician (207L00000X)
Full Record
NPI
1992382790
Entity Type
Individual
Last Name
Wilson
First Name
Jared
Middle Name
Jay
Name Prefix
Dr.
Credential
DO
Mailing Street Address
30 S Cayuga RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6728
Mailing Country
US
Mailing Phone
(716) 632-1088
Practice Street Address
30 S Cayuga RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6728
Practice Country
US
Practice Phone
(166) 321-0887
Enumeration Date
March 26, 2021
Last Updated
July 08, 2025
Sex
Male
Sole Proprietor
No
Certification Date
July 08, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anesthesiology Physician (207L00000X)