Individual provider · Type 1 NPI

Mark Mi Wilson, MSED

Specialist · Forest Hills, NY

NPI number 1033716568 Active

Practice location

700 Austin Street, Suite 200
Forest Hills, NY 11375

Call (718) 762-7633 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1033716568

Mark Mi Wilson, MSED's National Provider Identifier is 1033716568, issued on Oct 7, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Forest Hills, NY. The record was last updated on Oct 7, 2020.