Mrs Debra Anne Colacicco Wilson, MS OTR - Occupational Therapist in Syracuse, NY

Mrs Debra Anne Colacicco Wilson, MS OTR is a Occupational Therapist - Pediatrics based in Syracuse, New York. Mrs Debra Anne Colacicco Wilson is licensed to practice in New York (license number 002012-1) and her current practice location is 171 Intrepid Ln, Syracuse, New York. She can be reached at her office (for appointments etc.) via phone at (315) 437-4689.

NPI number for Mrs Debra Anne Colacicco Wilson is 1720233091 and her current mailing address is 7185 Fremont Rd, East Syracuse, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720233091.

Contact Information

Mrs Debra Anne Colacicco Wilson, MS OTR
171 Intrepid Ln,
Syracuse, NY 13205-2548
(315) 437-4689
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Debra Anne Colacicco Wilson
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location171 Intrepid Ln, Syracuse, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720233091
  • Provider Enumeration Date: 11/29/2008
  • Last Update Date: 11/29/2008

Medical Identifiers

Medical identifiers for Mrs Debra Anne Colacicco Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720233091NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 002012-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Debra Anne Colacicco Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Debra Anne Colacicco Wilson, MS OTR
7185 Fremont Rd,
East Syracuse, NY 13057-9445

Ph: (315) 656-3602
Mrs Debra Anne Colacicco Wilson, MS OTR
171 Intrepid Ln,
Syracuse, NY 13205-2548

Ph: (315) 437-4689

Reviews and Comments


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