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Contact Information

EVE WILSON, PA
100 NICOLLS RD
HSC T17-040
STONY BROOK, NY11794-8172
 Phone: 631-444-7790
 Fax: 631-444-7502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EVE WILSON · (Female)

NPI # 1215955349
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/17/2006
Last updated 04/16/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 007322
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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