Dr. Stephen A Wilson, MDCPMR

Individual provider Rehabilitation Practitioner · NPI 1518001197

Dr. Stephen A Wilson, MDCPMR is a Physical Medicine and Rehabilitation in Rego Park, New York. Qualified in 1985, 41 years ago. Practices with Queens Medical Pavilion, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying: 41
Licensed in: NY
In the registry since: 2007

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Practice location Address checks out

9314 Queens Blvd
Rego Park, NY 11374-1135
Phone: (718) 830-2700
Fax: (718) 830-3257

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary)	Taxonomy 225400000X · Licence 181294 (NY)

Record details

NPI number	1518001197
Entity type	Individual (Type 1)
Gender	Male
Credentials	MDCPMR
Sole proprietor	No
NPI enumerated	February 16, 2007
Last updated in NPPES	July 9, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICAL MEDICINE AND REHABILITATION
Medical school	OTHER
Graduated	1985 (41 years in practice)
Group practice	Queens Medical Pavilion,Llc — 4 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount