Dr. Nicole April Wilson
Pediatric Surgery
601 Elmwood Ave Box Surg Box Surg
Rochester
, New York 14642-0001
Dr. Nicole April Wilson
Pediatric Surgery
601 Elmwood Ave Box Surg Box Surg
Rochester
, New York 14642-0001
(585) 275-4435
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Nicole April Wilson
- 601 Elmwood Ave Box Surg
- Rochester, NY
- Zip : 14642-0001
- Phone : (585) 275-4435
Second Address
- Dr. Nicole April Wilson
- 601 Elmwood Ave Box Surg Box Surg
- Rochester, NY
- Zip : 14642-0001
- Fax : (585) 276-2370
- Phone : (585) 275-4435
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 304415 | NY |
National Provider Identifier
| NPI | 1336588326 |
|---|---|
| Provider Name | Dr. Nicole April Wilson |
| First Address | Rochester, NY 14642-0001 |
| Second Address | Rochester, NY 14642-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2013 |
| Last Update Date | 02/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06055958 | (05) | NY |
| 2018008652 | STATE OF MISSOURI (01) | MO |
| 304415 | STATE OF NEW YORK (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.