Dr. Amanda Moberg Wilson, MD
Psychiatry & Neurology, Psychiatry in New York, NY. Individual provider (NPI-1).
NPI number1003073545
StatusActive
Last updated in NPPESAug 15, 2012
Details
- NPI
- 1003073545
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanda Moberg Wilson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2008
- Last updated
- Aug 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | do not have one-PGY1 | NY | Yes |
Practice location
21 W 86th StSuite 209
New York, NY 10024-3671
Phone 917-715-2886
Mailing address
1160 5th Ave# 407
New York, NY 10029-6928
Phone 917-715-2886
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