Deborah a Wilson
Organization Active NPI Physical Disabilities Residential Treatment Facility · Hilton, NY
NPI 1104293406 · NPPES record last updated Aug 22, 2015
Key facts
- NPI
- 1104293406
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Disabilities Residential Treatment Facility 320700000X
- License
- 597516-1 (NY)
- Legal business name
- DEBORAH A WILSON
- Practice address
- 6 Doud Cir
Hilton, NY 14468-1480 - Phone
- (585) 750-1258
- NPI assigned
- Aug 22, 2015
- Organization subpart
- No
Authorized official
- Name
- Deborah A Wilson
- Title
- Registered Nurse
- Phone
- (585) 750-1258
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 597516-1 | NY | Yes |
Addresses
Primary practice location
6 Doud Cir
Hilton, NY 14468-1480
Mailing address
6 Doud Cir
Hilton, NY 14468-1480
Phone (585) 750-1258
Other names
- Deborah A Wilson
NPI Registry JSON
{
"created_epoch": "1440201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440201600000",
"number": "1104293406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 DOUD CIR",
"city": "HILTON",
"state": "NY",
"postal_code": "144681480",
"telephone_number": "585-750-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 DOUD CIR",
"city": "HILTON",
"state": "NY",
"postal_code": "144681480",
"telephone_number": "585-750-1258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH A WILSON",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-22",
"last_updated": "2015-08-22",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "585-750-1258"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "NY",
"license": "597516-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Deborah A Wilson",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in Hilton, NY · Physical Disabilities Residential Treatment Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.