Individual provider · Type 1 NPI

Mark Wanis, DO

Student in an Organized Health Care Education/Training Program · Forest Hills, NY

NPI number 1033059803 Active

Practice location

10201 66th Rd
Forest Hills, NY 11375-2029

Call (718) 830-4352 Map

Mailing address

361 Grandview Ave # 1F
Ridgewood, NY 11385-1216

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033059803

Mark Wanis, DO's National Provider Identifier is 1033059803, issued on Mar 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Hills, NY. The record was last updated on Mar 31, 2026.