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)CodeLicenseStatePrimary
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 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2015.

{
    "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"
        }
    ]
}

Other providers in Hilton, NY

All providers in Hilton, NY · Physical Disabilities Residential Treatment Facility in New York

Sources for this page

Verify at the official NPI Registry.