| Jessica Wilson, | |
|
1200 W Broadway Unit 2, Hewlett, NY 11557-1913 | |
| (209) 405-0455 | |
| Not Available |
| Full Name | Jessica Wilson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1200 W Broadway Unit 2, Hewlett, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164086617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Wilson, 3215 53rd Pl, Woodside, NY 11377-1925 Ph: (209) 405-0455 | Jessica Wilson, 1200 W Broadway Unit 2, Hewlett, NY 11557-1913 Ph: (209) 405-0455 |
Ms. Lisa Brooke Samuels, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 67 Prospect Ave, #12-c, Hewlett, NY 11557 Phone: 516-993-3267 Fax: 516-239-5167 | |
Rivka Breuer, RDN, CDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 413 Hamilton Ave, Hewlett, NY 11557 Phone: 516-582-5658 |