MRS. SUMMER RHIANNON WILSON


Address: 31-00 47th Avenue Ste 3100, Long Island, NY 11101-3013
Phone: 8886842779

MRS. SUMMER RHIANNON WILSON (NPI# 1285827949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285827949
Entity Type Individual
Full Name MRS. SUMMER RHIANNON WILSON
Credential PMHNP-BC
Practice Address 31-00 47th Avenue Ste 3100
Long Island
NY 11101-3013
Mailing Address 31-00 47th Avenue Suite 3100
Long Island City
NY 11101-3013
Practice Telephone 8886842779
Mailing Telephone 8886842779
Enumeration Date 2007-08-24
Last Update Date 2020-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F403012 NY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 31-00 47TH AVENUE STE 3100
City LONG ISLAND
State NY
Zip Code 11101-3013

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LONG ISLAND
Zip Code 11101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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