Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK PAUL WILSON, CRPA PROVISIONAL
Active Sole ProprietorMR. MARK PAUL WILSON, CRPA PROVISIONAL is a Peer Specialist healthcare provider located in E PATCHOGUE, New York. NPI 1770397853 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · E PATCHOGUE, NY
Registration Details
- NPI Number
- 1770397853
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2025 (1.5282234905137 yrs)
- Last Updated
- Feb 21, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
98 PINE NECK AVEE PATCHOGUE, NY, 117725730Browse NY providers · Browse ZIP 11772
- Phone
- 6319012767
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Peer Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.