Mr. Collis Jeremy Wilson, SPECIALIST
Mr. Collis Jeremy Wilson, SPECIALIST is a Specialist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2026
Practice location Address checks out
1275 E 84th StBrooklyn, NY 11236-4911
Phone: (347) 873-2161
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 2022342261 (NY) |
|---|
Record details
| NPI number | 1043155542 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SPECIALIST |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2026 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
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