SAMUEL A WILSON MD
NPI 1073541397
Internal Medicine in Flushing, NY

Q: What is Samuel Wilson's NPI number?

The NPI number for Samuel Wilson is 1073541397. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Samuel Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2006

5925 KISSENA BLVD, FLUSHING, NY 11355(718) 670-6100(718) 670-6110 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samuel A Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL A WILSON MD (NPI 1073541397) is an individual internal medicine provider in Flushing, New York, licensed in New York (183473) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073541397

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSAMUEL A WILSONCredential: MD

Location Address5925 KISSENA BLVDFlushing, NY 11355-5547

Mailing Address1000 Zeckendorf BlvdGarden City, NY 11530-2133 · (516) 542-6880 · Fax (516) 542-5556

Phone(718) 670-6100

Fax(718) 670-6110

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1073541397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 183473

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5925 KISSENA BLVD, Flushing, NY 11355

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Other Identifiers 2

Medicare UPINE98903NY

Medicare ID-Type Unspecified9255EXNY

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENRIQUETA A GODOY MD

Pediatrics