Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Mi Wilson, MSED

Individual provider Specialist · NPI 1033716568

Mark Mi Wilson, MSED is a Specialist in Forest Hills, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

700 Austin St Ste 200
Forest Hills, NY 11375
Phone: (718) 762-7633
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1033716568
Entity typeIndividual (Type 1)
GenderMale
Credentials MSED
Sole proprietorYes
NPI enumeratedOctober 7, 2020
Last updated in NPPESOctober 7, 2020
Certification dateOctober 1, 2020

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