Individual ProviderMiriam Rebecca WilsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address451 Clarkson Ave, Kings County Hospital Center, Brooklyn, NY 11203-2057(718) 245-3131(718) 498-0229PECOS EnrollmentBased on the most recent information from CMS, provider Miriam Rebecca Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881672194Provider TypeIndividualFull NameWilson, Miriam RebeccaTitleMs.CredentialFNPGenderFemaleEnumeration Date1/6/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address451 Clarkson Ave, Kings County Hospital Center, Brooklyn, NY 11203-2057Phone(718) 245-3131FaxUnlisted FaxMailing LocationMailing Address575 Snediker Ave, Brooklyn, NY 11207-6503Phone(718) 498-0229FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF332905New York