Provider Demographics
NPI:1447736384
Name:WILKINS, ALISON RAE
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:RAE
Last Name:WILKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:RAE
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 ARDEN LN
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1302
Mailing Address - Country:US
Mailing Address - Phone:631-848-4151
Mailing Address - Fax:
Practice Address - Street 1:4 ARDEN LN
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-1302
Practice Address - Country:US
Practice Address - Phone:631-848-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist